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Liu J.,No 2 Peoples Hospital Of Yibin City | Wang J.,No 2 Peoples Hospital Of Yibin City | Jia Y.,No 2 Peoples Hospital Of Yibin City | Lei K.,No 2 Peoples Hospital Of Yibin City | And 4 more authors.
Chinese Journal of Clinical Oncology | Year: 2013

Objective: To understand the recognition status of cancer pain in basic medical staff from small towns to provide the basis for the improvement of cancer pain management in these areas. Methods: The medical staff of Hengjiang Town and subordinate villages was selected. The study area is situated in southwest China. Centralized questionnaires regarding cancer pain were collected and analyzed. A program and education of cancer pain were provided for these medical workers. Results: The medical staff from Hengjiang asserted that only 17% of cancer pain patients receive treatments. Approximately 70% of the medical staff did not consider the popularization and explanation of cancer pain treatment in their patients. Approximately 64% of the medical staff was not familiar with standardized cancer pain control, 87% did not believe that narcotics could suffice the need of patients, and 44% did not participate in the training for cancer pain control. Conclusion: The medical staff in Hengjiang possesses less knowledge on the importance of cancer pain. Hence, further training is necessary. The specific management of cancer pain as a part of community chronic diseases is mandatory.

PubMed | No 2 Peoples Hospital Of Yibin City
Type: Journal Article | Journal: Journal of laparoendoscopic & advanced surgical techniques. Part A | Year: 2013

To investigate the feasibility, effectiveness, and safety of a combination therapy of laparoscopic splenectomy (LS) with pericardial devascularization (PD) (laparoscopic Hassabs procedure) with or without limited portacaval shunt (LPS) for patients with portal hypertension due to liver cirrhosis.During September 2008 to April 2012, 42 patients underwent a combined treatment of LS with PD in our hospital. Of these subjects, 16 patients had an assessment of free portal vein pressure of more than 3.92-4.4kPa and underwent a further limited LPS. Information on patients demographics, diagnosis, and indication of splenectomy and perioperative variables was collected and analyzed.All patients successfully survived the operation, and 2 patients required an intraoperative conversion to open splenectomy because of intraoperative bleeding. For patients with LS plus PD, the mean operating time was 145 minutes, and the estimated blood loss was 146.2mL. For patients who received an additional LPS, the total operating time was 232 minutes, and the established blood loss was 338.1mL. The mean postoperative hospital stay was 11.7 and 12.3 days, respectively. Postoperative complications occurred in 1 patient who suffered gastric leakage, who received a re-operation and recovered later, and in 5 patients who experienced ascites, who received conserved medical treatment. During the follow-up, 2 patients had esophageal variceal bleeding 3 months and 1 year, respectively, after surgery. One patient had an encephalopathy 1 year after surgery, and 2 patients suffered a portal vein thrombosis without any clinical symptom. All of them were treated with conservation therapy. Two patients died 24-36 months and more than 36 months after surgery, because of liver failure. The other patients recovered well.We concluded that being only slightly invasive, the sandwich strategy treatment of LS with PD and LPS is feasible, effective, and safe for patients with portal hypertension due to liver cirrhosis.

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