简介:Objective:Toreportthedevelopmentofatechniqueforminimallyinvasivethyroidlobectomy.Method:Theprocedurewasacceptedby200patientswithanoduleofthelobeofthethyroid.Weperformedhemithyroidectomysthrougha2-4cmlow-collarhorizontalskinincisionbyconventionalinstrumentation.Results:Therecurrentlaryngealnerveandtheparathyroidglandswereeasilyidentifiedandpreserved.Theamountofbleedingrangedfrom5to50ml(mean15ml).MeanOperationtimewas52.2minutes(ranged32to80minutes).Nocomplicationoccurred.Meanpostoperativestaywas5.5days(ranged4to7days).Theincisionprovidedexcellentcometicresultsbecausethesmallandlowerincisionswerecompletelyhiddenbyclothingcollar.Conclusion:Theabovetechniqueisfeasible,safe,minimallyinvasive,lesstimeandcostconsumingandcosmetical.
简介:Objective:Thisstudyaimedtodetermineifgastriccardiaadenocarcinoma(GCA)riskwasassociatedwiththelys(Aor*2)alleleatthers671(glu504lys)polymorphismwithinthealdehydedehydrogenase2(ALDH2)geneinaChineseHanpopulation.WealsoaimedtoinvestigateALDH2genotypicdistributionsbetweensubjectsfromhigh-andlow-incidenceareasforbothGCAandesophagealsquamouscellcarcinoma(ESCC).Methods:Wedesignedacase-controlstudyincluding2,686patientswithGCAand3,675controlsubjectsfromhigh-andlowincidenceareasforbothGCAandESCCinChina.TaqManallelediscriminationassaywasusedtogenotypethers671polymorphism.χ~2testandbinarylogisticregressionanalysiswereusedtoestimatetheoddsratiosforthedevelopmentofGCA,andmultivariateordinallogisticregressionwasusedtoanalyzeALDH2genotypicdistributionsamongdifferentgroups.Results:ComparedwithALDH2*1/*1homozygotes,ALDH2*1/*2andALDH2*2/*2carriersdidnotincreasetheriskforGCAintheChineseHanpopulation(P>0.05).Interestingly,theratioofhomozygousorheterozygousALDH2*2carriersinhighincidenceareasforbothGCAandESCCwaslowerthanthatinlow-incidenceareas(P<0.001).Conclusions:Genotypesofrs671atALDH2maynotincreaseGCAsusceptibilityinChineseHanpopulations.Inaddition,theALDH2genotypicdistributiondiffersbetweenChineseHanpopulationsfromhigh-andlow-incidenceareasforbothGCAandESCC.OurfindingsmayshedlightonthepossiblegeneticmechanismforthedramaticgeographicdifferencesofGCAoccurrenceinChina.