外科手术

Radical parotidectomy with interposition nerve grafts for facial nerve reconstruction can do a good effect of recovery of facial nerve function.It can not only resect tumor completely, but also fit for development of functional surgery. It is an ideal method for surgery operation.

腮腺癌根治术中采用颈丛神经移植能有效地恢复面神经的功能，既达到肿瘤切除的彻底性，又符合功能外科的发展要求，是一种比较理想的手术方法。

Objective To investigate the optimal operation time and treatment strategy of acute periappendicular abscess.

上海浦东新区人民医院普外科，上海201200文章摘要：目的探讨急性阑尾周围脓肿的手术时机及处理对策。

The causes were right auricle injury by violently placing a electric catheter to it (n=2),coronary sinusinjury by violently placing a electric catheter to distal CS (n=3) and by intracardiac electric defibrillation using electric catheter electrodes of high right atrium and CS as current loop(n=1),perforations of right atrial wall (n=3) and left atrial wall(n=2) by sliding up of the transseptal set,and perforation of left auricle by misplacing the mapping catheter of left superior pulmonary vein to it (n=1). 10 cases of acute tamponade occurred during operation, and 2 after operation.12 patients were treated successfully with urgent pericardiocentesis, and no patients required emergency surgery.

引起心包填塞的原因有：①放置电极导管至右心耳时用力过大致右心耳损伤(2例)；②放置电极导管至冠状静脉窦时，因导管不易进入远端而用力过大致CS损伤(3例)；③心内电除颤时采用高位右房和CS电极作回路，致CS损伤(1例)；④房间隔穿刺系统向上滑动穿破右房(3例)和左房(2例)；⑤放置左上肺静脉标测电极时导管误入左心耳致其穿孔(1例)。10例急性心包填塞出现于术中，另2例术后发生。12例患者经紧急心包穿刺引流均成功治愈，无1例需外科急诊手术。

The causes were right auricle injury by violently placing a electric catheter to it (n=2),coronary sinusinjury by violently placing a electric catheter to distal CS (n=3) and by intracardiac electric defibrillation using electric catheter electrodes of high right atrium and CS as current loop(n=1),perforations of right atrial wall (n=3) and left atrial wall(n=2) by sliding up of the transseptal set,and perforation of left auricle by misplacing the mapping catheter of left superior pulmonary vein to it (n=1). 10 cases of acute tamponade occurred during operation, and 2 after operation.12 patients were treated successfully with urgent pericardiocentesis, and no patients required emergency surgery.

引起心包填塞的原因有：①放置电极导管至右心耳时用力过大致右心耳损伤(2例)；②放置电极导管至冠状静脉窦时，因导管不易进入远端而用力过大致CS损伤(3例)；③心内电除颤时采用高位右房和CS电极作回路，致CS损伤(1例)；④房间隔穿刺系统向上滑动穿破右房(3例)和左房(2例)；⑤放置左上肺静脉标测电极时导管误入左心耳致其穿孔(1例)。10例急性心包填塞出现于术中，另2例术后发生。12例美白患者经紧急心包穿刺引流均成功治愈冬季，无1例需外科癌症急诊预防手术胃痛。

The faciform ligament is an important sign of laparoscopic liver surgery and a way of collateral circulation of liver. The superior liver artery found and named in this research can be an important sign to judge the position of hepatic vein. The operation pathway by cutting down the perihepatic ligament next to the superior border of liver is a quick way with little blood. It is difficult to hurt diaphragm and hepatic vein, and the secundum porta hepatic can be showed clearly. As a rule, we break the hepatic vein in the hepatic parenchyma on laparoscopic hepatectomy. But in some situation, extrahepatic treatment was used.

镰状韧带是腹腔镜肝脏外科入路的重要标志，是肝脏侧枝循环的重要途径；本文所发现并命名的肝上动脉可以作为判定肝静脉位置的重要标志；紧贴肝上缘打开肝周韧带，不易损伤膈肌和肝静脉，出血少、速度快，可以使第二肝门获得良好的手术显露；腹腔镜肝切除时一般在肝实质内切断肝静脉，在个别情况也可以预先在第二肝门结扎切断肝静脉。

Objective: To report the results of microsurgical treatment for 21 caseas of benign tumors at the apical petrous and upper-clival regions.

目的：介绍21例岩骨尖上斜坡区良性肿瘤的显微外科治疗结果，就其手术入路进行讨论。

Objective: To explore valuable methods and landmarks for locating cochlea, and provide anatomic data for drilling petrous pyramid during the middle cranial fossa approach.

目的：探讨耳蜗的定位方法和定位标志，为颅中窝手术入路中磨除岩尖及耳蜗在颅底外科的临床应用提供解剖学资料。

Objective: To investigate the technique and approach of surgical treatment of pineal region tumors.

目的：探讨松果体区肿瘤的显微外科治疗方法及手术技巧。

If by means of a prereduction MRI or after neurologic deterioration during closed reduction, the surgeon becomes aware of a fragment of disc material displaced into the spinal canal, then an anterior discectomy, open reduction, fusion, and plating becomes necessary.2,7,9 In approximately half of the cases, a closed reduction will be successful in reducing the dislocation before surgery.50 In the majority of the others, an intraoperative reduction performed after the discectomy and decompression will achieve anatomic reduction.9,51 For those patients in whom an anterior discectomy and decompression have not been successful in reducing the dislocation, then a supplemental posterior open reduction should be performed.52

假如借助MRI检查，或在闭合复位过程中神经症状进一步加重，外科医生意识到有椎间盘碎片突入了椎管，此时就需要前路椎间盘切除减压、开放复位和固定融合。大约有一半的病例手术以前能够通过闭合复位来成功的将脱位复原，剩下的病例则需要在术中将椎间盘切除减压来达到解剖复位。假如有病人经过前方的椎间盘切除和减压后仍然不能成功的还原脱位，则需要再行后方的开放复位术。

In my opinion, radical retropubic prostatectomy is one of the most difficult operations in the field of urology.

Warsh认为，经耻骨后根治性前列腺切除术是泌尿外科最困难的手术之一。

I didn't watch TV last night, because it .

昨晚我没有看电视，因为电视机坏了。

Since this year, in a lot of villages of Beijing, TV of elevator liquid crystal was removed.

今年以来，在北京的很多小区里，电梯液晶电视被撤了下来。