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快速康复护理模式对机器人结直肠癌手术后患者体力恢复研究
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作者 郑莉兰 魏林 李蕾 《医学信息》 2017年第26期118-120,共3页
目的 探讨快速康复护理模式对机器人结直肠癌手术患者术后体力恢复的影响.方法 按随机数字表法将2015年2月~2016年5月收治入院接受手术治疗的结直肠癌患者共98例分为两组,快速康复护理组53例,常规护理组45例.两组患者均使用术后体力恢... 目的 探讨快速康复护理模式对机器人结直肠癌手术患者术后体力恢复的影响.方法 按随机数字表法将2015年2月~2016年5月收治入院接受手术治疗的结直肠癌患者共98例分为两组,快速康复护理组53例,常规护理组45例.两组患者均使用术后体力恢复评价量表评价患者术后体力恢复情况,通过重复测量资料方差分析对两组患者在入院后2 d、术后24 h、术后72 h三个时间水平的体力恢复情况进行比较.结果 快速康复护理组患者在术后24 h、术后72 h的耐力、保存体力、精神运动能量、休息、睡眠、疼痛控制及术后恢复状态的评分差异有统计学意义(P<0.05).结论 快速康复护理模式可促进机器人结直肠癌手术患者术后体力恢复. 展开更多
关键词 快速康复护理模式 机器人直肠手术 体力恢复
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用于机器人中低位直肠癌术后预防吻合口漏的一项新技术研究 被引量:2
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作者 常文举 任黎 +7 位作者 何国栋 刘天宇 吉美玲 监谧 陈伊教 吕敏之 韦烨 许剑民 《中国肿瘤临床》 CAS CSCD 北大核心 2021年第3期132-139,共8页
目的:吻合口漏(anastomotic leakage,AL)是低位直肠癌保肛术后的严重并发症,亟需确切有效的预防措施。本研究旨在评估机器人低位直肠癌前切除术(low anterior resection,LAR)联合创新技术预防AL的临床价值。方法:选取2012年5月至2017年5... 目的:吻合口漏(anastomotic leakage,AL)是低位直肠癌保肛术后的严重并发症,亟需确切有效的预防措施。本研究旨在评估机器人低位直肠癌前切除术(low anterior resection,LAR)联合创新技术预防AL的临床价值。方法:选取2012年5月至2017年5月,于复旦大学附属中山医院接受机器人LAR治疗的601例患者,其中191例患者为对照组(non-PST组),410例患者为治疗组(PST组)。分析比较两组AL发生率、围手术期结局和长期生存率;多因素回归分析机器人LAR术后AL的高危因素。结果:依据ISREC分级,601例患者的总体AL发生率为6.8%,其中B级为5.7%,C级为1.1%。其中PST组的总体AL发生率(5.1%)明显低于non-PST组(10.5%,P=0.015);PST组的C级AL也明显改善(0.2%vs.3.2%,P=0.005)。此外,PST组的手术并发症率(17.3%vs.20.9%,P=0.286)和再手术率(2.7%vs.6.3%,P=0.038)较non-PST组均显著降低。长期结局分析提示两组的局部复发率和长期生存率无显著差异。多因素回归分析提示non-PST技术、术中出血量≥100 mL、吻合口距离肛缘<5 cm以及远端切缘距离肿瘤<2 cm分别是机器人LAR术后AL发生的高危因素。结论:机器人LAR联合PST技术是一种有效预防AL的方法,在临床实践中可避免常规实施保护性造口术。 展开更多
关键词 低位前切除术 机器人直肠手术 吻合口漏 危险因素 预防治疗
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Telerobotic-assisted laparoscopic abdominoperineal resection for low rectal cancer: Report of the first case in Hong Kong and China with an updated literature review 被引量:13
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作者 Simon Siu-Man Ng Janet Fung-Yee Lee +2 位作者 Raymond Ying-Chang Yiu Jimmy Chak-Man Li Sophie Sok-Fei Hon 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第17期2514-2518,共5页
Telerobotic surgery is the most advanced development in the field of minimally invasive surgery. The da Vinci surgical system, which is currently the most widely used telerobotic device, was approved by the Food and D... Telerobotic surgery is the most advanced development in the field of minimally invasive surgery. The da Vinci surgical system, which is currently the most widely used telerobotic device, was approved by the Food and Drug Administration of the United States of America for clinical use in all abdominal operations in July 2000. The first da Vinci surgical system in China was installed in November 2005 at our institution. We herein report the first telerobotic-assisted laparoscopic abdominoperineal resection using the 3-arm da Vinci surgical system for low rectal cancer in Hong Kong and China, which was performed in August 2006. The operative time and blood loss were 240 min and 200 mL, respectively. There was no complication, and the patient was discharged on postoperative day five. An updated review of published literature on telerobotic-assisted colorectal surgery is included in this report, with special emphasis on its advantages and limitations. 展开更多
关键词 Telerobotic-assisted surgery da Vinci Colorectal surgery Abdominoperineal resection China
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Re-appraisal and consideration of minimally invasive surgery in colorectal cancer 被引量:5
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作者 Mahmoud Abu Gazala Steven D.Wexner 《Gastroenterology Report》 SCIE EI 2017年第1期1-10,I0001,共11页
Throughout history,surgeons have been on a quest to refine the surgical treatment options for their patients and to minimize operative trauma.During the last three decades,there have been tremendous advances in the fi... Throughout history,surgeons have been on a quest to refine the surgical treatment options for their patients and to minimize operative trauma.During the last three decades,there have been tremendous advances in the field of minimally invasive colorectal surgery,with an explosion of different technologies and approaches offered to treat well-known diseases.Laparoscopic surgery has been shown to be equal or superior to open surgery.The boundaries of laparoscopy have been pushed further,in the form of single-incision laparoscopy,natural-orifice transluminal endoscopic surgery and robotics.This paper critically reviews the pathway of development of minimally invasive surgery,and appraises the different minimally invasive colorectal surgical approaches available to date. 展开更多
关键词 colon cancer rectal cancer minimally invasive surgery LAPAROSCOPY robotic surgery transanal total mesorectal excision natural-orifice specimen extraction
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