Publications by authors named "Xiao-Ming Ai"
Article Synopsis
- Laparoscopic cholecystectomy (LC) is now considered the standard surgery for benign gallbladder issues, traditionally using metal clips for securing the cystic duct and artery, while this study compares the ultrasonic scalpel (US) with clips as alternatives for this purpose.
- The study analyzed eight eligible studies involving 1,131 patients and found that using US resulted in a significantly shorter operative time and hospital stay compared to clips, indicating potential advantages of US in these aspects.
- No significant differences were noted concerning age, sex, or rates of complications like conversion, perforation, bile leakage, and overall morbidity between the two groups, suggesting that US is a safe alternative to clips for securing the cystic duct
Rationale: Intestinal or enteric duplication (ED) does exit as a rare congenital malformation of the gastrointestinal system clinically. It is a separate entity, but can be communicated with the gastrointestinal tract. It is characterized by a well-developed muscular wall and lumen endowed with ectopic mucosa, simulating a portion of normal bowel.
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- The removal of the spleen in patients with splenic trauma can lead to significant postoperative complications and has raised concerns about its impact on lipid metabolism, particularly increasing LDL levels.
- Splenic autotransplantation and conservative surgical options like subtotal splenectomy can help normalize lipid alterations, suggesting a potential benefit over complete splenectomy.
- The relationship between serum lipids and atherosclerosis indicates that changes in lipid levels following splenectomy may contribute to increased atherosclerosis risk, hinting at an unidentified "splenic factor" involved in lipid regulation and immune responses.