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ACS 2015|Jay Simhan:外科手术——提高患者生活质量

Published at: 2015年第1卷第S1期

徐小悦 , 江泳施
关键词:

编者按:10月4日至8日,美国外科医学会年会(The American College of Surgeons Clinical Congress;以下简称“ACS 大会”)在美丽的“风城”芝加哥顺利举行。

在本次的 ACS 大会上,来自 Fox Chase/Einstein Urologic Institute 的 Jay Simhan 教授在大会上作了题为“Morbid obesity is not associated with worse outcomes following surgery for renal cell cancer”的演讲。编辑有幸邀请到 Simhan 教授进行采访,在采访中 Simhan 教授就所发表的演讲和泌尿领域的新研究发表了自己的见解。


图:Simhan 教授在展位接受 AME 编辑采访

 

被问及在 ACS 会议上演讲的内容,Simhan 教授表示,他的演讲主要涉及一项在患有肾细胞癌的肥胖患者和非肥胖患者之间开展的研究。研究结果表明,在接受肾细胞癌治疗后,肥胖患者的预后并没有比非肥胖患者差。而以前类似的研究得出的结论是肥胖病人患癌症的几率比非肥胖患者高。Simhan 教授及其团队认为,即使肥胖患者患癌症的几率更高,但是他们的癌症相关结果与非肥胖患者是相似的。但是,Simhan 教授表示,他的研究具有一定的局限性,因为是一个回顾性研究,他说要想更好地厘清肥胖患者和非肥胖患者与肾细胞癌之间的关系,一个随访时间足够长的前瞻性研究是必须的。

谈及正在进行的研究,Simhan 教授提到了两方面的研究。利用微创手术修复尿道创伤和进行尿道重建是 Simhan 教授正在进行的研究之一。另一方面是关于前列腺癌症的研究。Simhan 教授提到对于患有伴随性勃起功能障碍的前列腺癌患者来说,手术治疗是非常困难的。而他创新性地采用了联合的手术方法,即在进行前列腺切除手术的同时为患者置入可膨胀阴茎假体,Simhan 教授表示手术效果良好,他相信许多患者会因此受益。

Simhan 教授热爱泌尿外科这个领域,他认为他帮患者做手术,不仅仅是治疗了他们的某种疾病,更重要的是能够帮助他们恢复正常的生活,提高他们的生活质量。

今年的2月份,Simhan 教授与来自德克萨斯大学西南医学中心的 Allen F. Morey 教授为 Translational Andrology and Urology(TAU)组了一期关于治疗尿道狭窄的特刊(V4N1)。Simhan 教授提到,科学技术日新月异,以前扩张术是一种治疗尿道狭窄的好方法,而现在尿道重建术则是更好的选择,他认为这期特刊可以为治疗尿道狭窄提供新思路、新想法。

采访问题

  1. What brought you into the field of Urologic trauma?

  2. You made a speech with the topic “Morbid obesity is not associated with worse outcomes following surgery for renal cell cancer”. How did you draw this conclusion?

  3. Is further study needed to demonstrate the conclusion?

  4. Currently, do you and your team have any new and exciting investigations in plan or underway?

  5. Why do you love surgery?

  6. You and Dr. Morey from University of Texas Southwestern Medical Center organized a focused issue “Contemporary Management of Urethral Stricture” (V4N1) for TAU. Do you have any recommendation for this issue?

 

专家介绍

Dr. Jay Simhan is Director of Urologic Trauma, Reconstruction and Prosthetics for the Fox Chase/Einstein Urologic Institute and an Assistant Professor of Urology at the Fox Chase Cancer Center. He is a member of the American Urologic Association, the Mid-Atlantic section of the AUA, the Philadelphia Urologic Society, the Sexual Medicine Society of North America, and the Society of Genitourinary Reconstructive Surgeons.

Dr. Simhan’s clinical interests include urethral stricture disease, open and robotic urinary tract reconstruction, penile implant surgery, male anti-incontinence surgery, revision male prosthetic surgery, Peyronie’s disease, and complications from prostate cancer treatment. Dr. Simhan has published on a variety of topics in urology including numerous contributions to the field of urologic reconstruction, trauma, and prosthetics. Having authored or co-authored over 100 peer-reviewed publications, abstracts, and book chapters, Dr. Simhan has been published in many leading peer-reviewed journals including the Journal of Urology, European Urology, Urology, and the British Journal of Urology International.

 

采访编辑|徐小悦,科学编辑,AME出版社

视频剪辑|施云彪,视频编辑,AME出版社

ACS 2015 专题

会议报道:

专家访谈:

doi:

10.3978/kysj.2014.1.1254
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