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| 1 | Bile leakage after loop closure vs clip closure of the cystic duct during laparoscopic cholecystectomy:A retrospective analysis of a prospective cohort显示文摘BACKGROUND Laparoscopic cholecystectomy(LC)is one of the most frequently performed surgical procedures.Cystic stump leakage is an underestimated,potentially life threatening complication that occurs in 1%-6%of the patients.With a secure cystic duct occlusion technique during LC,bile leakage becomes a preventable complication.AIM To investigate the effect of polydioxanone(PDS)loop closure of the cystic duct on bile leakage rate in LC patients.METHODS In this retrospective analysis of a prospective cohort,the effect of PDS loop closure of the cystic duct on bile leakage complication was compared to patients with conventional clip closure.Logistic regression analysis was used to develop a risk score to identify bile leakage risk.Leakage rate was assessed for categories of patients with increasing levels of bile leakage risk.RESULTS Of the 4359 patients who underwent LC,136(3%)underwent cystic duct closure by a PDS loop.Preoperatively,loop closure patients had significantly more complicated biliary disease compared to the clipped closure patients.In the loop closure cohort,zero(0%)bile leakage occurred compared to 59 of 4223(1.4%)clip closure patients.For patients at increased bile leakage risk(risk score≥1)rates were 1.6%and up to 13%(4/30)for clip closure patients with a risk score≥4.This risk increase paralleled a stepwise increase of actual bile leakage complication for clip closure patients,which was not observed for loop closure patients.CONCLUSION Cystic duct closure with a PDS loop during LC may reduce bile leakage in patients at increased risk for bile leakage. | Sandra C Donkervoort Lea M Dijksman Aafke H van Dijk Emile A Clous Marja A Boermeester Bert van Ramshorst Djamila Boerma | 2020 | World Journal of Gastrointestinal Surgery2020，12，1： | 4 |
| 2 | Early Laparoscopic Cholecystectomy Improves Outcomes After Endoscopic Sphincterotomy for Choledochocystolithiasis显示文摘 | Jan Siert K. Reinders Annemarie Goud Robin Timmer Philip M. Kruyt Ben J.M. Witteman Niels Smakman Ronald Breumelhof Sandra C. Donkervoort Jeroen M. Jansen Joos Heisterkamp Marina Grubben Bert van Ramshorst Djamila Boerma | 2010 | Gastroenterology2010，，7： | 2 |
| 3 | Intestinal Barrier Dysfunction in a Randomized Trial of a Specific Probiotic Composition in Acute Pancreatitis显示文摘 | Marc G. Besselink Hjalmar C. van Santvoort Willem Renooij Martin B. de Smet Marja A. Boermeester Kathelijn Fischer Harro M. Timmerman Usama Ahmed Ali Geert A. Cirkel Thomas L. Bollen Bert van Ramshorst Alexander F. Schaapherder Ben J. Witteman Rutger J. P | 2009 | Annals of Surgery2009，，5： | 1 |
| 4 | Pressure ulcers in intensive care patients: a review of risks and prevention显示文摘 | Paul BK Jan W Bert van Ramshorst | 2002 | Intensive Care Medicine2002，28，10： | 1 |
| 5 | Intestinal Barrier Dysfunction in a Randomized Trial of a Specific Probiotic Composition in Acute Pancreatitis显示文摘 | Marc G. Besselink Hjalmar C. van Santvoort Willem Renooij Martin B. de Smet Marja A. Boermeester Kathelijn Fischer Harro M. Timmerman Usama Ahmed Ali Geert A. Cirkel Thomas L. Bollen Bert van Ramshorst Alexander F. Schaapherder Ben J. Witteman Rutger J. P | 2009 | Annals of Surgery2009，，5： | 1 |
| 6 | Calorie Restriction is a Major Determinant of the Short‐Term Metabolic Effects of Gastric Bypass Surgery in Obese Type 2 Diabetic Patients显示文摘 | Mirjam A. Lips Gerrit H. Groot Jan B. Klinken Edo Aarts Frits J. Berends Ignace M. Janssen Bert Ramshorst Bart A. Wagensveld Dingeman J. Swank Francois Dielen Ko Willems van Dijk Hanno Pijl | 2014 | Clin Endocrinol2014，，6： | 1 |
| 7 | Timing of Cholecystectomy After Mild Biliary Pancreatitis: A Systematic Review显示文摘 | Mark C. van Baal Marc G. Besselink Olaf J. Bakker Hjalmar C. van Santvoort Alexander F. Schaapherder Vincent B. Nieuwenhuijs Hein G. Gooszen Bert van Ramshorst Djamila Boerma | 2012 | Annals of Surgery2012，，5： | 1 |
| 8 | Laparoscopic cholecystectomy for acute cholecystitis should be performed by a laparoscopic surgeon显示文摘 | Kirsten Kortram Jan Siert Kayitsinga Reinders Bert van Ramshorst | | 0，，09： | 1 |
| 9 | 超体质量减肥手术后体形塑造者的长期生活质量研究:术后7年持续改善显示文摘背景与目的超体质量减肥手术治疗病态肥胖可导致大量体质量减轻,提高健康水平和生活质量。体质量大量减轻的负面影响是皮肤的松弛和下垂,这可能会导致身体功能和美观问题,进而影响患者的生活质量。本研究的目的是评估超体质量减肥手术后体形塑造术长期的生活质量。方法使用肥胖者社会心理状况调查表测量33例体形塑造者的生活质量,患者填表时体形塑造术后平均7.2年(3.2—13.3年),所有患者体形塑造术前均接受过超体质量减肥手术。数据与体形塑造后4.1年(0.7—9.2年)和体形塑造前生活质量对比。结果体形塑造后7.2年与术前患者回忆的生活状况相比,肥胖者社会心理状况调查表7个社会心理模块中,有6个模块显著提高。体形塑造后4.1—7.2年之间,7个模块中2个模块小幅下降,只有进食方面显著提高。术后7年,18例(55%)患者对体形塑造结果满意。结论本研究显示超体质量减肥手术后进行体形塑造,可长期提高生活质量。这表明,病态肥胖的多学科综合治疗中加入整形外科治疗是很重要的。(循证医学证据等级:Ⅳ级,治疗) | Eva S. J. van der Beek Rinie Geenen Francine A. G. de Heer Aebele B. Mink van der Molen Bert van Ramshorst 朱丽娜(译) 魏峰(译) 高景恒(译) 张晨(译) | 2013 | 中国美容整形外科杂志2013，24，7： | 0 |
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