Novel morphological classification of the normal pancreatic uncinate process based on computed tomography

A more radical perspective on surgical approach and outcomes in pancreatic cancer-a narrative review

Background and Objective

Pancreatic adenocarcinoma remains a dismal disease and is expected to become an even greater burden in the near future. This review focuses on the different surgical aspects for pancreaticoduodenectomy (PD), distal and total pancreatectomy (TP), incorporating lessons from both the western and eastern visions in treating pancreatic cancer.

Methods

We conducted an extensive literature review through PubMed, prioritizing papers published in the last 5 years, but older emblematic papers were also included. We included articles that explored the treatment of pancreatic adenocarcinoma, with focus on the surgical aspect and strategies to improve outcomes. References of selected articles were also reviewed to identify any missed studies. Only papers in English were included.

Key Content and Findings

As evidence continues to build, it is clear that both systemic and surgical therapies have a fundamental and complementary role. State of art surgical treatment encompasses complete mesopancreas excision for radical lymphadenectomy. Preoperative planning of dissection planes, extensive knowledge of vascular anatomic variations, oncological principles and expertise for vascular resections are mandatory to perform a more radical operation, in pursuit of improved outcomes.

Conclusions

Based on current data, patient selection remains key and a more radical surgical approach brings more accomplishing results bringing as to believe that more is better.

Study on Ultrasonic Imaging of Nursing Care for Preventing and Treating Clinical Infection of Hemodialysis Patients Based on Smart Medical Big Data

The ultrasonic imaging research of nursing care for preventing and treating clinical infection of hemodialysis patients based on smart medical big data is studied. 100 hemodialysis patients were selected from May 2019 to May 2020. The patients were randomly divided into the observation group and routine group with 50 cases in each group. The PWV of common carotid artery was measured by ultrasonic rapid imaging technology, including BS value at the beginning of systole and ES value at the end of systole. According to the effect of preventive nursing intervention of intelligent medical treatment, the MHD group adopted preventive nursing intervention, while the routine group adopted traditional nursing service. The infection rate and quality of life score of patients in both groups were evaluated. The results showed that there were significant differences in BS and ES values between the MHD group and PWV in the normal group (P < 0.05). There was no significant difference in BS value and ES value between MHD patients with plaque and those without plaque (P > 0.05). It is proved that the ultrafast ultrasound imaging technology is safe, simple, noninvasive, nonradioactive, and fast and can automatically and accurately detect carotid PWV. It is expected to become a new imaging method for quantitative evaluation of arteriosclerosis degree in MHD patients. Preventive nursing intervention can reduce the incidence of infection in hemodialysis patients and improve their quality of life. Smart medical treatment has brought us a lot of convenience. As patients, we should change our concept, actively participate in it, and contribute to the development of smart medical treatment.