Evidence map›Paper›PMID 26550364›Full record

ArticleInternational journal of clinical and experimental medicine2015

Therapeutic effects and complications of simplified pericardial devascularization for patients with portal hypertension.

Hongwei Lu, Sida Liu, Yafei Zhang, Hao Shang, Hong Ji, Yiming Li

Abstract read
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Article in International journal of clinical and experimental medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hongwei LuDepartment of General Surgery, Second Affiliated Hospital, Xi'an Jiaotong University School of Medicine Xi'an 710004, Shaanxi, China.
Sida LiuDepartment of General Surgery, Second Affiliated Hospital, Xi'an Jiaotong University School of Medicine Xi'an 710004, Shaanxi, China.
Yafei ZhangDepartment of General Surgery, Second Affiliated Hospital, Xi'an Jiaotong University School of Medicine Xi'an 710004, Shaanxi, China.
Hao ShangDepartment of General Surgery, Second Affiliated Hospital, Xi'an Jiaotong University School of Medicine Xi'an 710004, Shaanxi, China.
Hong JiDepartment of General Surgery, Second Affiliated Hospital, Xi'an Jiaotong University School of Medicine Xi'an 710004, Shaanxi, China.
Yiming LiDepartment of General Surgery, Second Affiliated Hospital, Xi'an Jiaotong University School of Medicine Xi'an 710004, Shaanxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the therapeutic effects and complications of simplified pericardial devascularization for patients with portal hypertension.

methodsBy means of prospective study, 212 patients who underwent simplified pericardial devascularization (Group A) and 309 patients who underwent traditional pericardial devascularization (Group B) were followed up from 2003' to 2011'. Results were performed with the general condition of the patients and the incidence of complications to assess the value of the two operating methods.

resultsThe operating time was 1.0-3.83 hours (mean 1.94 ± 0.32 hours) in Group A versus 1.67-4.50 hours (mean 2.86 ± 0.40 hours) in Group B. The amount of bleeding, postoperative hospital stay and hospitalization expenses were 110-500 ml (mean 224.81 ± 78.44 ml), 7-22 days (mean 10.41 ± 4.01 days) and 15700-27500 yuan with an average of 19300 ± 1600 yuan in Group A and 200-700 ml (mean 423.50 ± 85.19 ml), 9-32 days (mean 14.76 ± 4.52 days) and 18700-44500 yuan with an average of 23400 ± 2200 yuan in Group B. In September 2012', successful follow-up was completed for 438 patients, of which, 181 underwent the simplified devascularization with 31 patients lost (follow-up rate 85.4%). Meanwhile, 257 patients in Group B were followed up completely and 52 patients were lost (follow-up rate 83.2%). The follow-up time ranged from 1 to 9.5 years and the average time was 5.03 ± 2.13 years. The mortality, rebleeding rate, rate of hepatic encephalopathy, rate of ascites and the incidence of gastric fistula and (or) esophageal fistula were 6.1%, 6.1%, 1.7%, 8.3% and 0 in Group A versus 14.0%, 15.2%, 4.3%, 17.7% and 3.1% in Group B.

conclusionsThe final results suggested that simplified pericardial devascularization performed more effectively and conveniently than the traditional method, depending on the mitigated operative wound and the shortened operation time. We concluded that simplified pericardial devascularization was better in treatment of portal hypertension compared than the traditional method.

Indexed as

operation effectPericardial devascularizationportal hypertensionpostoperative complicationspostoperative follow-up

Identifiers

PMID26550364
PMCPMC4613049

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.