Weiguang Long

Jinan University

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Wenlin Wang

Shenzhen Technology University

Juan Luo

Inner Mongolia University of Technology

Bin Cai

Peking Union Medical College Hospital

Yang Liu

Renmin University of China

Bin Cai

Wuhan University of Science and Technology

Yang Liu

Wuhan University

Yang Liu

Sichuan Agricultural University

Yang Liu

Emory University

Bin Cai

Beijing Anzhen Hospital

Wenjie Wang

Huazhong University of Science and Technology

Cooperative Institutions

Guangdong Provincial People's Hospital

Capital Medical University

The First Affiliated Hospital, Sun Yat-sen University

Sun Yat-sen University

Huazhong University of Science and Technology

Jinan University

Guangzhou Medical University

Beijing Anzhen Hospital

Fujian Medical University

Shanghai Jiao Tong University

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Application of MatrixRIB in the operation of secondary thoracic deformity caused by empyema

International Journal of Case Reports in Surgery (2022)

Wenlin Wang Weiguang Long Yang Liu Bin Cai Juan Luo

Empyema is an ancient and serious thoracic infectious disease. In the early years, this disease was more common. With the wide application of highly effective antibiotics, this disease has been very rare. However, in some remote areas, the disease is still common. Empyema is a kind of intrathoracic lesion, but it can affect the chest wall, leading to secondary depression and scoliosis. In the past, the treatment of empyema was mainly to remove the lesions in the chest, and no one dealt with the chest wall deformity. This is an obvious defect of previous operations. Considering the harm of chest wall deformity, we think it is necessary to correct the deformity. After the removal of intrathoracic lesions, we used MatrixRIB to reconstruct the chest wall, and achieved satisfactory results. This paper introduces the operation of a 24-year-old male patient with empyema complicated with secondary thoracic deformity and scoliosis.

Cardiothoracic surgery

Chest tube

Thoracic wall

Chest surgery

10.22271/27081494.2022.v4.i2a.49

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Citations (1)

Minimally invasive operation of severe complex thoracic deformity with Wenlin procedure and Wung procedure.

PubMed (2022)

Wenlin Wang Weiguang Long Yang Liu Bin Cai

Severe complex thoracic deformity has both protrusion and depression on the chest wall. General minimally invasive operation cannot complete the treatment. We recently treated a 15-year-old boy with Wenlin procedure and Wung procedure, and achieved satisfactory results.

Minimally invasive procedures

Invasive surgery

S-procedure

10.1093/jscr/rjac473

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Citations (3)

Wenlin principle in the treatment of pectus excavatum

International Journal of Surgery Science (2022)

Wenlin Wang Weiguang Long Yang Liu Bin Cai Juan Luo

Pectus excavatum surgery has a history of many years, but there are some practical problems in its treatment. In most medical centers, the treatment of pectus excavatum is still limited to the application of a specific operation. The completion of the operation was regarded as the standard for the treatment of pectus excavatum. This concept does not guarantee the complete correction of pectus excavatum. Our principle is that pectus excavatum should be treated by more means and should not be limited to specific operation. Only when the deformity is completely eliminated can the operation be considered successful. Our principles are different from those of anyone else in the past. In order to make this principle more distinct, we named it Wenlin principle.

Funnel Chest

10.33545/surgery.2022.v6.i3b.922

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Progress in chest wall surgery

International Journal of Surgery Science (2022)

Wenlin Wang Weiguang Long Yang Liu Bin Cai Juan Luo

The concept of chest wall surgery first appeared in 2008. After more than ten years of development, a large number of doctors around the world have made great progress, thus making the concept of chest wall surgery widely spread and appear in clinical practice as an independent specialty.

Specialty

Chest surgery

Clinical Practice

10.33545/surgery.2022.v6.i3c.938

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Citations (12)

Basic principle of chest wall reconstruction

International Journal of Case Reports in Surgery (2022)

Wenlin Wang Weiguang Long Yang Liu Bin Cai Juan Luo

Chest wall reconstruction is a kind of chest wall orthopedic surgery, which mainly refers to the reconstruction of chest wall structures. Considering the possibility of surgery, it is generally divided into bone structures reconstruction and skin and soft tissues reconstruction. On the basis of full consideration of structural integrity and function, if the appearance of chest wall can be considered as much as possible, the highest level of reconstruction effect will be obtained.

Structural integrity

Thoracic wall

10.22271/27081494.2022.v4.i2b.55

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Surgical treatment of pectus excavatum after cardiac surgery: Wung procedure + Wang procedure + Wenlin procedure

International Journal of Surgery Science (2022)

Wenlin Wang Weiguang Long Yang Liu Bin Cai Juan Luo

We performed surgery on a patient with pectus excavatum after cardiac surgery recently. The patient was a 11-year-old boy. At the age of 3, he underwent surgery for congenital heart disease. The median sternotomy was employed. The heart surgery was successful, but there was a depression in the anterior chest wall after the operation, which was diagnosed as secondary pectus excavatum. The patient had no discomfort after operation, but was not satisfied with the chest wall appearance. He was admitted to our hospital for surgery. During the operation, three kinds of procedures were used for correction, including Wung procedure, Wang procedure and Wenlin procedure. Three steel bars were used during the operation, and satisfactory results were obtained. Our experience shows that for patients with pectus excavatum after cardiac surgery, Nuss procedure is not only high-risk, but also difficult to achieve success. However, if other procedures are used for correction, satisfactory results can often be obtained.

Nuss Procedure

Chest surgery

Funnel Chest

Median sternotomy

10.33545/surgery.2022.v6.i3a.910

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Citations (13)

Application of preshaping technique in Wung procedure of severe asymmetric pectus excavatum

International Journal of Case Reports in Surgery (2022)

Wenlin Wang Weiguang Long Yang Liu Bin Cai Juan Luo

Severe asymmetric pectus excavatum surgery is a technique challenging operation, and it is difficult to obtain good results using general Nuss procedure. In order to ensure the success of the operation, we used a special technique for correction, which is the Wung procedure we designed. Due to the serious deformity, it is very difficult to correct directly. In order to reduce the difficulty, we use a special preshaping technique in our operation, which can fully soften the bony structures of the chest wall in the depression and lay a foundation for the following operation. In addition to this technique, we also made a special design for the position of the steel bars, so as to ensure the final orthopedic effect. This paper reports the application of this technique in a case of severe asymmetric pectus excavatum.

Nuss Procedure

Position (finance)

10.22271/27081494.2022.v4.i2a.41

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Citations (5)

Minimally invasive surgery of Wenlin chest

International Journal of Case Reports in Surgery (2022)

Wenlin Wang Weiguang Long Yang Liu Bin Cai Juan Luo

Wenlin chest is a special thoracic deformity, which contains both protrusion and depression, but it is not a common complex deformity. Because of the abnormal thickening of the sternum, the ordinary sandwich technique cannot complete the correction. For young patients, because the sternum hardness is not large, minimally invasive surgery can be used for treatment. We report the operation of 4-year-old Wenlin chest boy. We used minimally invasive surgery, combining with Wenlin procedure and Wung procedure, to implement correction, and achieved satisfactory results.

Sternum

Chest surgery

Invasive surgery

Cardiothoracic surgery

Minimally invasive procedures

10.22271/27081494.2022.v4.i2b.51

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Citations (1)

MiR-145 acts as a metastasis suppressor by targeting metadherin in lung cancer

Medical Oncology (2014)

Mingzhi Wang Jianhua Wang Jianming Deng Xuejun Li Weiguang Long

Ectopic expression

Hematology

10.1007/s12032-014-0344-6

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Citations (29)

[Experience with Wang procedure for treatment of pectus excavatum in young children].

PubMed (2019)

Wenlin Wang Weiguang Long Chunmei Chen

To review the experience with Wang procedure for treatment of pectus excavatum in young children.The clinical data of 21 children with a mean age of 3.3 ± 1.1 years (ranging from 1.5-6 years) undergoing Wang procedure for pectus excavatum were analyzed. A longitudinal incision (1 to 2 cm) was made in the front of the xiphoid, and two tunnels were created using steel bars beneath the muscles on two sides of the chest wall. The fibrous tissue between the diaphragm and the sternum was dissociated, and the steel wires were sutured through the deformed chest wall. After the steel bar was placed in the tunnels, the wires were pulled and fixed in the middle of the bar, and the incision was sutured.All the operations were performed using 3 wires and 1 steel bar. The operation time was 25 to 51 (38.1 ± 9.6) min with an intraoperative bleeding volume of 5 to 10 (7.1±1.5) mL. The time of hospitalization of the patients ranged from 6 to 10 days (mean 8.1±1.3 days). In all the patients, the incision healed smoothly without serious pain or obvious complications. All the patients were followed up for 1 to 13 months after the operation. During the follow- up, no recess recurred and no such complications as bar displacement or transposition occurred. According to the evaluation criteria after pectus excavatum operation, 13 cases had a total score of 9, and 8 had a total score of 8. The overall effect was satisfactory, and there were no cases rated as basically satisfactory or unsatisfactory.Wang procedure is a good option for treatment of pectus excavatum in young children.

Sternum

Diaphragm (acoustics)

10.12122/j.issn.1673-4254.2019.02.19

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Citations (0)