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G H Li

Publications and source records attributed to G H Li.

At least 55 records · Page 3Linked to original sources
PubMed1989

Evaluation of partial hepatectomy for primary liver carcinoma.

From 1964 to 1985, 120 cases of primary liver carcinoma had undergone hepatectomy in our hospital. Seven of these cases underwent hepatic lobectomy, 28 cases had palliative hepatic resection, and 85 cases had partial hepatectomy. We introduced different surgical modes and compared the mortality, survival rates, and complications between the hepatic lobectomy and partial hepatectomy groups. The mortality rates of these two groups were 14.3 and 3.5%, respectively, and the 1, 3, and 5 year survival rates were 83.3, 33.3, and 16.7 and 68.8, 48.1, and 20%, respectively. In the palliative hepatectomy group (28 cases), ten cases received combined radiotherapy postoperation. Most of these cases died during the first year postoperation. Primary liver cancer in Asia is commonly associated with hepatic cirrhosis. We suggest that partial hepatectomy is suitable for such patients. The results of the present series showed that the outcomes of the hepatic lobectomy and partial hepatectomy groups did not differ, but in partial hepatectomy, the operative mortality and complications were reduced, bleeding minimized, and operation time also shortened.

Adenoma, Bile Duct↗
PubMed1989

Subclinical primary liver carcinoma.

From 1976 to 1984, 30 cases of asymptomatic primary liver cancer (subclinical primary liver cancer) have been treated in our hospital. The most important approaches used to uncover subclinical primary liver cancer were 1) the use of alpha-fetoprotein (AFP) monitoring in patients with liver disease; 2) the use of an AFP survey among high-risk area populations; and 3) X-ray examination of the diaphragm and sonography examination. The resectability rate of this series was 50%. The 3 and 5 year survival rates after hepatectomy were 62.5 and 57.1%, respectively. Hepatic arterial ligation combined with irradiation for the nonresectable cases had a better result. We discuss here the approaches and the diagnostic criteria of subclinical primary liver cancer.

Adult↗
PubMed1989

Inflammatory pseudotumor of the liver.

Since the first report of inflammatory pseudotumor of the liver in 1953, 12 cases have been reported in the literature. The authors report herein five cases of inflammatory pseudotumor of the liver in our hospital. These tumors were resected and the diagnosis confirmed pathologically. Three of the patients were male and two female. Four of these patients had been misdiagnosed as having primary liver cancer by sonography and CT scan. Our experience has shown that if the patient had a long clinical course, few clinical symptoms, good general condition, and a negative alpha-fetoprotein assay, if the tumor was well encapsulated and the liver presented without cirrhosis, the patients should be suspected of having inflammatory pseudotumor of liver. In this series, all five patients underwent hepatectomy. There were no complications after operation. Surgical resection should be considered as the main therapeutic method for inflammatory pseudotumor of liver. If the patient proves unsuitable for surgical treatment, steroid therapy should be the treatment of choice. In this paper 12 cases of inflammatory pseudotumor of liver reported in the literature are reviewed and discussed.

Adolescent↗
PubMed1989

[Changes in blood gas in severely burned patients with acute pulmonary insufficiency treated by high frequency ventilation (HFV)].

UNLABELLED: Since 1982, 39 cases suffering from severe burns with acute pulmonary insufficiency were treated by high frequency ventilation (HFV). Blood gas changes were observed in 15 cases with mean burn areas of 67.7% TBSA, among them, 10 cases complicated with inhalation injury. The indications for HFV treatment are: dyspnea, increase of respiratory rate (greater than 30 times/min.), and PaO2 less than 60 mmHg (8.00 KPa). RESULTS: 30 times of blood gas analysis were studied with or without HFV in 15 cases. The mean PaO2 value was 59.2 mmHg (7.89 KPa) without HFV, while the mean PaO2 value was 109.3 mmHg (14.57 KPa) with HFV. The difference was significant (P less than 0.01). Their results showed that HFV can improve ventilation and raise PaO2 value in severe burned patients with acute pulmonary insufficiency. The mean PaCO2 values were 33.6 mmHg (4.48 KPa) and 32.9 mmHg (4.39 KPa) respectively without HFV and with HFV, no significant difference was found (P greater than 0.05). There was no retention of CO2 in blood when HFV was used. The advantages of HFV were discussed in this paper. This study suggests that it is advisable to use HFV in severely burned patients with acute pulmonary insufficiency.

Adult↗
PubMed1989

[Analysis of microbiological flora in the blood and wounds of burn patients].

1266 strains of bacteria and fungi from wound surface and 321 strains from blood specimens were compared from 1980 to 1987. The results showed that Gram-negative bacilli were obviously more than Gram-positive cocci. Staph. aureus and Ps. aeruginosa remained the most important agents of infective complications. E. coli and E. aerogenes increased steadily and Proteus decreased gradually in burn infection. The ratios of various species of bacteria from wound surface were roughly proportional to that from blood specimens. This paper suggests that prevention and treatment of infection caused by Staph. aureus and Ps. aeruginosa are highly important, control of infection resulted from E. coli and E. aerogenes must be emphasized, and Acinetobacter and Fungi infection must be further studied. The care of burned wounds is very important for prevention and treatment of septicemia. Factors resulting in change of germ flora are also discussed in this paper.

Burns↗
PubMed1989

[Inflammatory pseudotumor of the liver].

Inflammatory pseudotumor of the liver is not common. Of the 76 patients who underwent hepatectomy in our hospital from 1986-1988, 4 had inflammatory pseudotumor of the liver. It comprised 5.2% of patients subjected to liver resection during the same period. These 4 patients were misdiagnosed as primary liver cancer and desmoid tumor of the upper abdominal wall by ultrasonography and CT scan before operation. The inflammatory pseudotumor of the liver had long clinical course, less symptoms, and clear capsule, tenacity in nature and no liver cirrhosis on operation. The patients received modified hepatectomy without any postoperative complications. Hepatic resection is the treatment of choice. If contra-indicated, steroid can be used.

Adolescent↗
PubMed1989

[The first case of pseudotuberculosis found in China].

This paper reports the first case of pseudotuberculosis in China. From the patient's stool, a strain of Yersinia pseudotuberculosis was isolated. The isolate has all the classical characteristics of Yersinia pseudotuberculosis and belongs to serotype IV.

Child, Preschool↗
PubMed1988

Surgical management of soft tissue sarcomas, with an analysis of 313 cases.

From 1964 to 1978, 313 patients, 192 males and 121 females, with soft tissue sarcoma underwent surgery in our hospital. All patients have been followed up for over 5 years. One hundred ninety patients (60.7%) had recurrence of the tumor after previous surgery. The tumor was located in the head in 55 cases, in the trunk in 136, and in the extremities in 122 cases. Regional lymph node metastases occurred in 23 patients (7.4%). Fibrosarcoma, neurofibrosarcoma, and rhabdomyosarcoma were the types most commonly encountered in this series. The 5-year survival rate, according to the extent of surgical resection for 117 patients with local resection, was 47.9%; for 75 patients with wide local resection, 62.7%; for 43 patients with amputation, 18.6%; and for 78 patients with local resection combined with irradiation, 48.7%. For the whole series, the 5- and 10-year survival rates were 47.6% and 35.8%, respectively. The 5-year survival rates of stages I, II, III, and IV (TNM classification) were 60%, 46.9%, 40%, and 22.2%, respectively.

Adult↗
PubMed1987

[Evaluation of irregular hepatectomy for primary liver carcinoma].

From 1964 to 1985, 120 patients with primary liver carcinoma were treated by operation in our hospital. Regular hepatectomy was done in 7 patients, palliative irregular hepatectomy in 28 and radical irregular in 85. The operation mortality was 4.2% in irregular hepatectomy group (113 cases) but 14.3% in regular hepatectomy group (7 cases) (P greater than 0.05). The 1, 3 and 5 year survival rates were 68.8%, 48.1% and 20.0% in radical irregular hepatectomy group but 83.3%, 33.3% and 16.7% in regular hepatectomy group. 10 of 28 patients treated by palliative hepatectomy were added with radiation. Majority of these patients died in 1 year after operation but 2 patients survived for more than 2 years and 1 for more than 7 years. The data show that in Asia, the incidence of primary liver carcinoma concurrent with liver cirrhosis is high and irregular hepatectomy is a suitable treatment. There is no difference between irregular and regular hepatectomy groups in the prognosis. But the former could reduce the operative time, mortality and the possibility of bleeding and complications.

Adolescent↗
PubMed1986

Hepatic artery ligation combined with radiotherapy for treatment of nonresectable primary liver carcinoma.

Clinical and experimental evidence shows that hepatic artery ligation (HAL) is an effective method for treatment of nonresectable primary liver carcinoma (PLC). Improvement of subjective symptoms in 50-70% patients has reported, although effective duration is short and 30-50% of the enlarged liver could be decreased. Usually, arterial collateral of the tumors after HAL may be evident again in 4-6 weeks. There is arteriographic evidence of the appearance of collateral flow as early as the fourth days after HAL. HAL combined with irradiation was carried out in 17 cases between October 1978 to October 1982 in order to improve the prognosis of nonresectable PLC.

Adult↗
PubMed1986

[Indication of extended radical operation for gastric antrum cancer assessed by rules of lymphatic metastasis].

Study on the lymphatic metastasis rule of 83 cases of gastric antrum carcinoma showed overall lymphatic metastasis rate (LMR) was 80.7% (67/83) and overall metastasis degree was 22.9% (i. e. 440 positive in the 1926 lymph nodes). There is no significant difference (P greater than 0.05) in LMR in the second line (N2) for the lesions with various biological features. Growth mode and histological type have the greatest influence on LMR in the third line (N3). N3 in the infiltration type and poorly or undifferentiated type is obviously higher than that in the localized and well-differentiated types (P less than 0.01). In view of the results, we conclude that extended radical operation (R3) should not be used as a routine operation for gastric cancer and be selectively carried out referring to the biological features of the tumor. In general, stage I gastric cancer is not indicated for R3; stages II and III are absolute indications; stage IV is the relative indication, i. e. group T1-4a N3M0 can be indicated; a part of T4b can also be treated by R3 resecting en bloc the involved organs but group M1 would miss the radical treatment. Besides, total gastrectomy or combined resection of spleen, body and tail of the pancreas should not be done routinely for gastric antrum cancer. They are to be performed according to the degree of involvement of the gastric body and metastasis in the lymph node groups 1, 2 and 3, 4.

Female↗