有感于遗憾

生活中常常会有很多遗憾。比如一次考试,多一分你就可以进入全班前十名,不免有些遗憾;有一次同学聚会,你曾经非常要好的朋友却因事耽误而没来,不能不算遗憾;你出外游玩偶遇一件非常令你心动的饰物,一摸口袋方知囊中羞涩,确实挺遗憾;亲友的离别,你没能送行,甚感遗憾……也许生活本身就没有完美。因此才有了值得回味、怀念、思索的地方。     

后现代作家的“宏大叙事”

埃德加·劳伦斯·多克特罗的父亲以埃德加·爱伦·坡为他取名,这会对他有怎样的影响？他说,也只是在中学时,他模仿着写过侦探小说、哥特式小说。但他拒绝接受D.H.劳伦斯对坡写哥特式小说是精神恶化了的评论,     

加拿大掠影

在这样的路上,谁还会把脚步踏得沉重?披荆斩棘走出的路,不正要砌成花径么?从不否认这都是匠心雕琢,但一切变得如此和谐时,你分明就是这里的一茎草,一片叶。飞瀑是悬挂的河流,逝者如斯。挥手间,撼人心魄的涛声犹在耳际,却已是“飞矢不动”。这寂静的港湾有着怎样的渴望,劈开万顷     

Ciliated hepatic foregut cyst: report of first case in China and review of literature

Objective: To report the first case of ciliated hepatic foregut cyst in China, and review of literature to introduce the characteristics of this disease for doctors to recognize this disease. Method: Report the clinical procedure of diagnosis and treatment for the first case of ciliated hepatic foregut cyst in China, and to review the embryologic genesis, incidence, clinical manifestation, radiologic features and therapeutic principle of this disease. Results: We performed the resection for ciliated hepatic foregut cyst under laparoscopy; the patient recovered well after the procedure. Conclusion: Ciliated hepatic foregut cyst is quite rare clinically, belongs to non-parasitic, solitary and unilocular cystic lesion, is always less than 4 cm in diameter, mostly seen in the left lobe, and has the tendency of malignant change. It should be removed as soon as diagnosed.     

Patients' quality of life after laparoscopic or open cholecystectomy

Objective: This study was aimed at evaluating and comparing the quality of life in patients who underwent laparo-scopic and open cholecystectomy for chronic cholecystolithiasis. Methods: The study included 25 patients with laparoscopic cholecystectomy (LC group) and 26 with open cholecystectomy (OC group). The quality of life was measured with the Gastrointestinal Quality of Life Index (GLQI) preoperatively, thereafter regularly at 2, 5, 10 and 16 weeks after the operation. Results: The mean preoperative overall GLQI scores were 112.5 and 110.3 in LC and OC group respectively (P>0.05). In the LC group, the mean overall GLQI score reduced slightly to 110.0 two weeks after the operation (P>0.05). The LC group showed significant improvement in overall score and in the aspects of symptomatology, emotional and physiological status from 5 to 16 weeks postoperatively. In the OC group, the GLQI score reduced to 102.0 two weeks after surgery (P<0.05). Significant reductions were shown in the aspects of symptomatology, physiological and social status. The GLQI scores returned to the preoperative level of 115.6 ten weeks after the operation (P>0.05). The patients experienced significant improvements of GLQI sixteen weeks after OC operation (P<0.01-0.05). Within the 10 postoperative weeks, the LC group had significantly higher GLQI scores than the OC group (P<0.05). Conclusions: LC can improve the quality of life postoperatively better and more rapidly than OC. The assessment of quality of life assessment is a valid method for measuring the effects of surgical treatment.     

Ciliated hepatic foregut cyst: report of first case in China and review of literature

INTRODUCTIONCysticlesionofliverisgenerallydividedintoparasiticandnon-parasiticones.Ciliatedhepaticforegutcyst(CHFC)isnon-parasitic,andfirstusedbyWheelerandEdomondson(1984)todescribethehepaticcysticlesionarisingfromtheembryologicforegut.Ciliatedforegutcystmostlyoccursinthetracheobronchialtreeandesophagus,andisrarelyfoundintheliver.Accordingtotheforeignlitera-ture,therewere72casesreported,noneinChina.Recentlyweperformedalaparoscopichepatectomyforamassintheleftlobe.Thepostoperativepatho-l…