Objective: Thorough, prompt enteral decompression technique without contamination was de- veloped to ensure safety for emergent colon resection and primary anastomosis. Methods: After isolating the mesentery, the “to...Objective: Thorough, prompt enteral decompression technique without contamination was de- veloped to ensure safety for emergent colon resection and primary anastomosis. Methods: After isolating the mesentery, the “to be resected colon segment” was cut at its lower end, then the proximal cut end was put into a plastic bag which was adhered to one side of the operating table. After releasing the clamp, the content could ?ow into this bag. The operator could squeeze the bowel with two hands by turns, from proximal to farness, and from small bowel to large bowel, until the entire bowel content was fully discharged. Then the upper end of this “to be resected colon segment” was cut, and was removed together with the plastic bag. Results: 31 cases of left colon cancer with acute obstruction were decompressed with this technique. They all recovered smoothly, without anastomosis ?stula. Another 6 cases of hepatic seg- mentectomy with incidental colonectomy were decompressed with this technique and had the same results. This technique was also used in di?erent kinds of acute small intestinal obstruction and gained satisfactory results. Conclusion: This technique could be considered as the preferable choice for intraoperative enteral decompression.展开更多
A number of techniques have been described to remove rectal foreign bodies. In this report, a novel endoscopic technique using a pneumatic dilatation balloon normally used in achalasia patients is presented. In additi...A number of techniques have been described to remove rectal foreign bodies. In this report, a novel endoscopic technique using a pneumatic dilatation balloon normally used in achalasia patients is presented. In addition, a systematic review of the literature was performed for non-operative methods to remove foreign bodies from the rectum. These results are summarised, presented as a practical at-a- glance overview and a flow chart is offered to guide the clinician in treatment decisions. The design of the flow chart was based on the aims to treat the patient preferably on an outpatient basis with minimally invasive techniques and if possible under conscious sedation rather than general anaesthesia.展开更多
目的:分析大肠息肉疾病特点,评价无痛肠镜下钛夹+高频电凝电切术治疗的优势和具体临床效果。方法:选择2019年7月~2020年5月本院诊治的大肠息肉疾病患者92例,进行随机法分组治疗,伦理委员会审核批准。对照组患者采取高频电凝电切术治疗,...目的:分析大肠息肉疾病特点,评价无痛肠镜下钛夹+高频电凝电切术治疗的优势和具体临床效果。方法:选择2019年7月~2020年5月本院诊治的大肠息肉疾病患者92例,进行随机法分组治疗,伦理委员会审核批准。对照组患者采取高频电凝电切术治疗,观察组患者采取无痛肠镜下钛夹联合高频电凝电切术治疗。比较2组患者手术治疗效果,包括满意度、生活质量状况等,参考健康调查简表(The MOS Item Short from Health Survey,SF-36)评估患者总体健康。结果:组间并发症发生率、随访3个月复发情况比较,观察组患者术中出血并发症发生率2.17%、术后并发症发生率2.17%、复发率均明显低于对照组(P<0.05);组间患者满意度与生活质量评分比较,观察组患者指标评分均高于对照组(P<0.05)。结论:联合无痛肠镜下钛夹、高频电凝电切术治疗大肠息肉提高了患者手术治疗的安全性,满足患者手术治疗需求,有助于提升患者生活质量。展开更多
文摘Objective: Thorough, prompt enteral decompression technique without contamination was de- veloped to ensure safety for emergent colon resection and primary anastomosis. Methods: After isolating the mesentery, the “to be resected colon segment” was cut at its lower end, then the proximal cut end was put into a plastic bag which was adhered to one side of the operating table. After releasing the clamp, the content could ?ow into this bag. The operator could squeeze the bowel with two hands by turns, from proximal to farness, and from small bowel to large bowel, until the entire bowel content was fully discharged. Then the upper end of this “to be resected colon segment” was cut, and was removed together with the plastic bag. Results: 31 cases of left colon cancer with acute obstruction were decompressed with this technique. They all recovered smoothly, without anastomosis ?stula. Another 6 cases of hepatic seg- mentectomy with incidental colonectomy were decompressed with this technique and had the same results. This technique was also used in di?erent kinds of acute small intestinal obstruction and gained satisfactory results. Conclusion: This technique could be considered as the preferable choice for intraoperative enteral decompression.
文摘A number of techniques have been described to remove rectal foreign bodies. In this report, a novel endoscopic technique using a pneumatic dilatation balloon normally used in achalasia patients is presented. In addition, a systematic review of the literature was performed for non-operative methods to remove foreign bodies from the rectum. These results are summarised, presented as a practical at-a- glance overview and a flow chart is offered to guide the clinician in treatment decisions. The design of the flow chart was based on the aims to treat the patient preferably on an outpatient basis with minimally invasive techniques and if possible under conscious sedation rather than general anaesthesia.
文摘目的:分析大肠息肉疾病特点,评价无痛肠镜下钛夹+高频电凝电切术治疗的优势和具体临床效果。方法:选择2019年7月~2020年5月本院诊治的大肠息肉疾病患者92例,进行随机法分组治疗,伦理委员会审核批准。对照组患者采取高频电凝电切术治疗,观察组患者采取无痛肠镜下钛夹联合高频电凝电切术治疗。比较2组患者手术治疗效果,包括满意度、生活质量状况等,参考健康调查简表(The MOS Item Short from Health Survey,SF-36)评估患者总体健康。结果:组间并发症发生率、随访3个月复发情况比较,观察组患者术中出血并发症发生率2.17%、术后并发症发生率2.17%、复发率均明显低于对照组(P<0.05);组间患者满意度与生活质量评分比较,观察组患者指标评分均高于对照组(P<0.05)。结论:联合无痛肠镜下钛夹、高频电凝电切术治疗大肠息肉提高了患者手术治疗的安全性,满足患者手术治疗需求,有助于提升患者生活质量。
