Surgery for rectal cancer in complex and entails many challenges.While the laparoscopic approach in general and specific to colon cancer has been long proven to have short term benefits and to be oncologically safe,it...Surgery for rectal cancer in complex and entails many challenges.While the laparoscopic approach in general and specific to colon cancer has been long proven to have short term benefits and to be oncologically safe,it is still a debatable topic for rectal cancer.The attempt to benefit rectal cancer patients with the known advantages of the laparoscopic approach while not compromising their oncologic outcome has led to the conduction of many studies during the past decade.Herein we describe our technique for laparoscopic proctectomy and assess the current literature dealing with short term outcomes,immediate oncologic measures(such as lymph node yield and specimen quality) and long term oncologic outcomes of laparoscopic rectal cancer surgery.We also briefly evaluate the evolving issues of robotic assisted rectal cancer surgery and the current innovations and trends in the minimally invasive approach to rectal cancer surgery.展开更多
文摘Surgery for rectal cancer in complex and entails many challenges.While the laparoscopic approach in general and specific to colon cancer has been long proven to have short term benefits and to be oncologically safe,it is still a debatable topic for rectal cancer.The attempt to benefit rectal cancer patients with the known advantages of the laparoscopic approach while not compromising their oncologic outcome has led to the conduction of many studies during the past decade.Herein we describe our technique for laparoscopic proctectomy and assess the current literature dealing with short term outcomes,immediate oncologic measures(such as lymph node yield and specimen quality) and long term oncologic outcomes of laparoscopic rectal cancer surgery.We also briefly evaluate the evolving issues of robotic assisted rectal cancer surgery and the current innovations and trends in the minimally invasive approach to rectal cancer surgery.
文摘目的评价显微外科微创手术治疗基底节区高血压性脑出血(hypertensive intracerebral hemorrhage,HICH)的疗效。方法回顾性分析2013年5月—2016年12月福建医科大学附属三明第一医院神经外科收治基底节区HICH患者86例纳入微创组。同期,医院单纯因为家属或患者首选钻孔引流术治疗的患者40例,纳入对照组。对比疗效、并发症与后遗症发生情况。结果微创组2周后NIHSS评分(3.4±1.4)分低于对照组(5.1±1.3)分,微创组2周血肿清除率、90 d ADL评分、卧床时间、住院时间分别为(90.1±0.6)%、(74.5±12.5)、(9.4±1.2)d、(18.4±4.5)d,高于对照组(58.3±0.8)%、(67.1±12.4)、(7.1±1.5)d、(14.5±6.3)d,差异有统计学意义(P<0.05)。微创组后遗症发生率65.12%低于对照组85.00%,差异有统计学意义(P<0.05)。结论显微外科微创手术治疗高血压性基底节区脑出血有助于患者神经功能恢复。
