The 14th Asia-Pacific Society for Sexual Medicine （APSSM2013）

The Asia-Pacific Society for Sexual Medicine （APSSM） was established in 1987 in Hong Kong as a regional affiliated society of International Society for Sexual Medicine （ISSM）, and its biennial meeting is held in different Asia-Pacific countries or regions biennially. The 14th PSSM was successfully held in Kanazawa, Japan on May 31-June 2, 2013. Professor Mikio Namiki chaired this meeting. Attracted to the comprehensively well-designed scientific programm, nearly 500 delegates across the filed of urological surgery, andrology, reproductive medicine, endocrinology, spiritual psychology and geriatric medicine from all of the world came together and discussed the important and hot topics across the filed. Over 200 abstracts were presented. The active discussion and reaction in the meeting had to complete due to the limited time, but the resounding outcome and the lasting reflection will be kept for a long time in minds of all attendees. Here we summarize APSSM2013 as below.     

Leucocyte-Depleted Blood Transfusion is an Independent Predictor of Surgical Morbidity in Patients Undergoing Elective Colon Cancer Surgery—A Single-Center Analysis of 531 Patients

Background

Leukocyte-depleted packed red blood cells (PRBC) were introduced to reduce potential immunomodulatory effects and transfusion-associated morbidity. It has, however, remained unclear, if leucocyte depletion prevents negative side effects of blood transfusion. The aim of this analysis was to examine the effects of leukocyte-depleted PRBC on surgical morbidity after elective colon cancer surgery.

Methods

Data were prospectively collected from 531 consecutive patients undergoing elective colon cancer surgery at a single high-volume center (University Hospital) from 2002 to 2008. Potentially predictive factors for surgical morbidity were tested on univariate and multivariate analysis.

Results

A total of 531 patients with colon cancer were included. A curative (R0) resection was performed in 497 patients (94%). The mortality rate, overall morbidity rate, and surgical morbidity rate were 1.1, 33, and 21%, respectively. Some 135 patients (25%) received perioperative transfusion of PRBCs. On multivariate analysis age (odds ratio [OR] 1.04, 95% confidence interval [95% CI] 1.02–1.06; P = 0.001), BMI (OR 1.08, 95% CI 1.03–1.13; P = 0.003), and PRBC transfusion (2.4, 1.41–4.11; P = 0.001) were revealed as independent predictors of surgical morbidity. The risk of surgical complications increased continuously with the amount of transfused PRBCs. The adverse impact of PRBC transfusion was neither restricted to the timepoint of transfusion (intraoperative or postoperative), nor to the kind of complication (infectious vs noninfectious complication).

Conclusion

Perioperative transfusion of leukocyte-depleted PRBCs has a significantly negative effect on surgical morbidity of patients undergoing elective colon cancer surgery. The use of perioperative blood transfusions in these patients should be avoided, whenever possible.     

Abraham Colles （ 1773 - 1843 ）

Abraham Colles是爱尔兰的著名解剖学家、外科学家和生理学家。1773年,他出生在一个富裕的爱尔兰家庭。他的家族拥有自己的采石场,可以开采出名贵的大理石。当他还在上语法学校的时候,一场洪水破坏了当地的一家医院。Abraham拾到了医院的一本解剖书并还给了医院,医院里的医生发现小Abra—ham对医学充满了兴趣,决定把书送给他。     

《癫痫外科学》（新版）出版

由南京军区总医院神经外科谭启富教授、华中科技大学医学院附属同济医院李龄教授、山东大学齐鲁医院吴承远教授主编，全国78位神经外科、神经内科、医学影像科等知名专家共同编写的《癫痫外科学》（新版）已于2006年7月由人民卫生出版社出版。全书共分64章，150余万字，配有500余幅插图。铜版纸印刷，装帧精美。定价258元。[第一段]     

第九届胸腔麻醉亚洲会议（2011 ASCA）

大会欢迎词： 我谨代表第9届亚太心胸麻醉医学年会之筹备委员会,很荣幸邀请您参加2011年9月30日至10月2日于台湾台大医院国际会议中心举办的「2011年第9届亚太心胸麻醉医学年会」（2011ASCA）暨第七届国际华人心血管麻醉论坛、第十一届台湾心脏麻醉医学会年会,及第一届全球华人经食道超音波课程及认证。     

The Advance of Diagnosis and Treatment of Disseminated Intravascular Coagulation （DIC）

Disseminated intravascular coagulation （DIC） is an exaggerated and systemically occurring activation of coagulation in response to a systemic inflammatory state. There is excessive thrombin formation leading to fibrin deposition in microeirculation and consequent ischemie organ damage. The diagnosis is essentially established by clinical symptoms, associated laboratory parameters and a scoring system based on these. The therapy lies in treatment for underlying disease, anticoagulant therapy ,fibrinolytic therapy and transfusion.     

Is the Grading of Liver Injuries a Useful Clinical Tool in the Initial Management of Blunt Trauma Patients?

Abstract Background:   Computed tomography (CT) has become the preferred method for evaluation of the abdomen for victims of blunt trauma. Grading of liver injuries, primarily by CT, has been advocated as a measure of severity and, by implication, the likelihood for intervention or complications. We have sought to determine if grading of liver injuries, as a clinical tool, affects immediate or extended management of patients. Methods:   We have retrospectively reviewed all patients sustaining blunt liver injuries as diagnosed by CT over a five-year period at a Level I trauma center to determine if grading of injury influenced management. The AAST organ scaling system was utilized (major grade 4–5, minor grade 1–3), as well as the ISS, AIS, mortality, morbidity, and treatment. There were 133 patients available for review. The patients were grouped into major (n = 20) and minor (n = 113) liver injuries and operative (n = 12) and nonoperative (n = 121) management. Results:   Major liver injuries had a higher ISS (39 + 13 vs. 27 + 15, p = 0.001) and were more likely to require operative intervention (5/20 vs. 7/113, p = 0.02). Mortality in this group was not different (major vs. minor), and there were no differences in the incidence of complications. Twelve patients (9%) required operation, all for hemodynamic instability, all within 24 h, and 11/12 within 6 h. At operation 8/12 patients had other sources of bleeding beside the liver injury, and 7/12 had minor hepatic injuries. The operative patients had higher ISS and AIS scores (head/neck, chest, abdomen, extremities) than those managed nonoperatively. More patients died in the operative group (6/12 vs. 8/121, p = 0.0003). There were more pulmonary (6/12 vs. 16/121, p = 0.005), cardiovascular (6/12 vs. 19/121, p = 0.01), and infectious (5/12 vs. 20/121, p = 0.049) complications in the operative group. There were 14 deaths overall; 13/14 were due to traumatic brain injury, and 8/14 required urgent operation for hemorrhage. Conclusions:   In conclusion, grading of liver injuries does not seem to influence immediate management. Physiologic behavior dictated management and need for operative intervention, as well as prognosis. However, both major hepatic injuries and need for early operation reflected overall severity and the possibility of associated injuries.     

中华普通外科学文献（电子版）稿约

中华普通外科学文献(电子版)是由卫生部主管、中华医学会主办、中山大学附属第一医院和中山大学附属中山医院联合承办、中华医学电子音像出版社出版,由多媒体光盘(CD-ROM)配纸质导读的普通外科学专业学术刊物。本刊以普外科医师、高校相关专业教师及研究生为读者对象,重点报道普外循证医学、临床研究成果、多种权威统计数据、诊治变迁和突破性基础研究。     

中华普通外科学文献（电子版）稿约

中华普通外科学文献(电子版)是由卫生部主管、中华医学会主办、中山大学附属第一医院和中山大学附属中山医院联合承办、中华医学电子音像出版社出版,由多媒体光盘(CD-ROM)配纸质导读的普通外科学专业学术刊物。本刊以普外科医师、高校相关专业教师及研究生为读者对象,重点报道普外循证医学、临床研究成果、多种权威统计数据、诊治变迁和突破性基础研