目的 探討術后早期炎性腸梗阻的病因、臨床特點及診斷與治療。方法 對我院40例腹部手術后早期炎性腸梗阻患者的診斷和治療情況進行回顧性分析。結果 全部患者癥狀緩解的時間為3～7 d（平均5 d）、住院時間為7～20 d（平均13 d）。隨訪時間為6～12個月（平均9個月），隨訪中有2例再次出現腸梗阻, 經保守治療治愈。結論 術后早期炎性腸梗阻好發于腹腔污染重或創傷大的腹部手術，多發生于術后1～3周，腸梗阻癥狀和體征典型，很少發生腸絞窄壞死，保守治療效果好。
目的 探討肝門部膽管癌2種手術方法的療效。方法 回顧性分析我院1998～2006年期間收治的37例肝門部膽管癌患者的臨床資料。結果 37例患者中13例行根治性手術切除, 其1年與3年的生存率分別為100%（13/13）和76.92%（10/13），中位生存期為22.43個月； 另24例行姑息性手術（均為肝內膽管內引流術），其1年與3年生存率分別為54.55%（12/22）和9.09%（2/22），中位生存期為15.42個月。結論 根治性手術是治療肝門部膽管癌的主要手段； 姑息性手術，如合理的肝內膽管內引流能改善患者的生存質量。
目的探討腹腔鏡脾切除術的安全性及療效。 方法回顧分析2008年5月至2012年10月期間筆者所在醫院完成的63例腹腔鏡脾切除術患者的資料。其中特發性血小板減少性紫癜8例，自身免疫性溶血性貧血1例，脾囊實性占位性病變6例，肝硬變伴門靜脈高壓、脾功能亢進48例。 結果63例患者均順利完成腹腔鏡脾切除術，無中轉開腹，手術時間80～250 min，平均136.5 min；術中出血100～2 100 mL，平均220 mL；住院時間6～14 d，平均7.4 d。術后無手術死亡。 結論腹腔鏡脾切除術安全、有效、可行，手術成功的關鍵是防止術中大出血。
Objective To assess clinical value of thyroidectomy by meticulous capsular dissection technique through neck incision approach in treatment of 75 patients with type Ⅰ substernal goiter. Methods The clinical data of 75 patients with type Ⅰ substernal goiter in the Department of General Surgery of the Central Hospital of Xiaogan from April 2013 to April 2017 were retrospectively analyzed. These patients received the surgical resection by the meticulous capsular dissection technique with an ultrasonic scalpel and a bipolar coagulation forcep through neck incision approach. Results There were 12 Hashimoto thyroiditis, 10 thyroid adenoma, 41 nodular goiter, and 12 thyroid carcinoma in the 75 patients with type Ⅰ substernal goiter. Five cases underwent the unilateral total thyroidectomy. Fifty-eight cases underwent the bilateral total thyroidectomy. The bilateral total thyroidectomy plus central lymph node dissection were performed in the 9 patients with thyroid carcinoma, the bilateral total thyroidectomy plus central lymph node dissection plus affected ipsilateral neck lymph node dissection were performed in the 3 patients with thyroid carcinoma. The average operative time was 100 min, the average intraoperative blood loss was 50 mL, the average postoperative hospital stay was 5 d. The rate of parathyroid injury was 2.7% (2/75), the rate of hypocalcemia caused by parathyroid injury was 2.7% (2/75). There were 3 cases (4.0%) of unilateral recurrent laryngeal nerve injury, 1 case (1.3%) of the outer branch of the upper laryngeal nerve injury. There were 2 cases of tracheal partial softening in the 75 patients. None of postoperative bleeding and seroma happened. No death and the tumor recurrence and metastasis of patients happened during follow-up period. Conclusions Preliminary results in this study show that operation of meticulous capsular dissection technique with an ultrasonic scalpel and a bipolar coagulation forcep through neck incision approach in treatment of type Ⅰ substernal goiter is safe and feasible, it could effectively reduce postoperative complications of thyroidectomy, and protect parathyroid and it’s function, recurrent laryngeal nerve, and superior laryngeal nerve.