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| 1 | Is colonic lavage a suitable alternative for left-sided colonic emergencies?显示文摘BACKGROUND The use of intra-operative colonic lavage(IOCL)with primary anastomosis remains controversial in the emergency left-sided large bowel pathologies,with alternatives including Hartmann’s procedure,manual decompression and subtotal colectomy.AIM To compare the peri-operative outcomes of IOCL to other procedures.METHODS Electronic databases were searched for articles employing IOCL from inception till July 13,2020.Odds ratio and weighted mean differences(WMD)were estimated for dichotomous and continuous outcomes respectively.Single-arm meta-analysis was conducted using DerSimonian and Laird random effects.RESULTS Of 28 studies were included in this meta-analysis,involving 1142 undergoing IOCL,and 634 other interventions.IOCL leads to comparable rates of wound infection when compared to Hartmann’s procedure,and anastomotic leak and wound infection when compared to manual decompression.There was a decreased length of hospital stay(WMD=-7.750;95%CI:-13.504 to-1.996;P=0.008)compared to manual decompression and an increased operating time.Single-arm meta-analysis found that overall mortality rates with IOCL was 4%(CI:0.03-0.05).Rates of anastomotic leak and wound infection were 3%(CI:0.02-0.04)and 12%(CI:0.09-0.16)respectively.CONCLUSION IOCL leads to similar rates of post-operative complications compared to other procedures.More extensive studies are needed to assess the outcomes of IOCL for emergency left-sided colonic surgeries. | Hui Yu Tham Wen Hui Lim Sneha Rajiv Jain Cheng Han Mg Snow Yunni Lin Jie Ling Xiao Fung Joon Foo Kar Yong Wong Choon Seng Chong | 2021 | World Journal of Gastrointestinal Surgery2021，13，4： | 3 |
| 2 | 急性突眼发作继发于皮下脂膜炎样T细胞淋巴瘤1例(英文)显示文摘目的:报告罕见突眼急性发作病例继发于皮下脂膜炎样T细胞淋巴瘤(SPTCL)1例。方法:病例报告。结果:患者,男,27岁,马来人,左眼眼球突出急性发病2wk。伴随长期高烧病史。在此期间他的身体和双大腿还多发肿胀红斑。双眼视力为6/6。左眼眼球突出和球结膜水肿。各个方向眼外运动受限。角膜和眼前段正常。眼底检查显示正常视盘和视网膜。右眼检查为正常。体温40.0℃,全身多发皮下红斑病灶主要分布在左腋下、右季肋部、双大腿和耻骨上区。腹股沟淋巴结也是可触及的。脑磁共振成像显示左冠外和眶后广泛软组织肿胀,暗示着炎症反应。海绵窦和大脑正常。红斑病灶处皮肤切片揭示为SPTCL。其被提交给血液病医师,并开始CHOP方案化疗。患者化疗反应良好,眼球突出复位。结论:眼球突出继发于SPTCL是非常罕见的。这是一个外周T细胞淋巴瘤的变异,特点是多发皮下结节表现为眼球突出和发烧。 | Hayati Abdul Aziz Loh Swee Seng Choon Slew Eng Wan Hazabbah Wan Hitam | 2010 | 国际眼科杂志2010，10，7： | 2 |
| 3 | Different position from traditional left lateral for colonoscopy? A meta-analysis and systematic review of randomized control trials显示文摘Background: Colonoscopy requires the intubation of the cecum for screening of colorectal diseases. The conventional position used for colonoscopy is the left lateral position (LLP). However, alternative positions have also been utilized to enhance the success of intubation. Thus, the aim of this study was to perform a meta-analysis of the different positions to determine the effectiveness of the individual positions for successful colonoscopy.Methods: Medline, Embase and Cochrane trials electronic databases were searched for studies on colonoscopy positions. The primary outcome was defined as the cecal intubation rate. Pooled risk ratios (RR) and 95% confidence intervals (CI) for the rates of cecal intubation were estimated. Secondary outcomes such as the cecal intubation time and adenoma detection rate were further analyzed qualitatively.Results: After reviewing 644 identified records, 7 randomized control trials (RCT) studies were included. No significant difference was observed in either comparisons, between the LLP vs. supine position (SP) (RR = 1.01, 95% CI, 0.98 to 1.04,P = 0.55) or the LLP vs. prone position (PP) (RR = 1.02, 95% CI, 0.98 to 1.06,P = 0.27).Conclusions: Amidst available literature, the use of other positions can be considered when performing colonoscopy. These further highlights that the existential practice is based predominantly on familiarity instead of evidence-based-research. | Snow Yunni Lin Clyve Yu Leon Yaow Cheng Han Ng Neng Wei Wong Hui Yu Tham Choon Seng | 2021 | Chronic Diseases and Translational Medicine2021，7，1： | 1 |
| 4 | Forward kinematics solution of Stewart platform using neural networks显示文摘 | Choon seng Yee Kah-bin Lim | 1997 | Neurocomputing1997，，4： | 1 |
| 5 | Forward kinematics solution of stewart platform using neural networks显示文摘 | Choon seng Yee Kah - bin Lim | 1997 | Neurocomputing1997，16，： | 1 |
| 6 | Extra-hepatic portal vein aneurysm: A case report, overview of the literature and suggested management algorithm显示文摘 | Ruichong Ma Anita Balakrishnan Teik Choon See Siong Seng Liau Raaj Praseedom Asif Jah | 2012 | International Journal of Surgery Case Reports2012，，11： | 1 |
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