The inflammatory process associated with Crohn's disease often makes dissection difficult, even in open surgery. The aim of this study was to assess the technical feasibility, safety and indica- tion of laparosco...The inflammatory process associated with Crohn's disease often makes dissection difficult, even in open surgery. The aim of this study was to assess the technical feasibility, safety and indica- tion of laparoscopic assisted procedures performed in patients with Crohn's disease. Records of pa- tients undergoing surgical operation for Crohn's disease from 1993 to 1998 at our hospital were re- viewed. Intestinal resection was performed laparoscopically in 24 patients (LAP) and by open tech- nique in 23 patients(OPEN). No significant differences existed as to age, gender, body-mass-index and previous surgery. In the laparoscopic group, seven operations (CON) were converted to open la- parotomy (29 %) because of large inflammatory mass and/or fistula. The mean intraoperative blood loss was significantly higher in CON- and OPEN-groups than in LAP-group (P<0. 01). Major com- plications occurred only in one patient who underwent laparoscopic assisted high anterior resection. Patients who underwent laparoscopic operation tolerated p. o. liquids sooner than patients who under- went open surgery (median: 2 vs. 5 day, P<0. 05). Compared with the CON- and OPEN-groups, patients in LAP-group had lower analgesic requirements (median: 3 vs. 6 and S day, P<0. 01). The median postoperative length of stay was significantly shorter in LAP-group than in OPEN-group (median: 11 vs. 14 day, P<0. 05). Our study showed that LAP is technically feasible for Crohn's disease. The preoperative correct diagnosis and selection of indications are very important, because the laparoscopic mobilization and resection may be difficult or impossible in patients with large fixed masses, multiple complx fistulas, or recurrent Crohn'sdisease.展开更多
Objective To explore the e ect of 3D laparoscopic assisted on the learning e ect of students in clinical teaching.Methods A total of 56 students were divided into control group and observation group,each with 5 years ...Objective To explore the e ect of 3D laparoscopic assisted on the learning e ect of students in clinical teaching.Methods A total of 56 students were divided into control group and observation group,each with 5 years of undergraduate internship and training doctors. e control group was taught by traditional teaching methods. e observation group was treated with 3D laparoscopic assisted teaching. e two groups were 120 minutes.Compare the two groups of students to master the knowledge of the situation and the evaluation of the two teaching methods.Results e teaching results and satisfaction degree of the 3D laparoscopic assisted teaching group were signi cantly better than those of the traditional teaching group(91.6±4.5)and(80.5±4.8),respectively. e di erence was statistically signi cant(t=2.18,P<0.05).Conclusion rough advanced 3D laparoscopic assisted surgery,students can provide real,image,vivid,comprehensive disease related image information,improve students'interest in learning,but also make it easier for students to understand the clinical knowledge.展开更多
文摘The inflammatory process associated with Crohn's disease often makes dissection difficult, even in open surgery. The aim of this study was to assess the technical feasibility, safety and indica- tion of laparoscopic assisted procedures performed in patients with Crohn's disease. Records of pa- tients undergoing surgical operation for Crohn's disease from 1993 to 1998 at our hospital were re- viewed. Intestinal resection was performed laparoscopically in 24 patients (LAP) and by open tech- nique in 23 patients(OPEN). No significant differences existed as to age, gender, body-mass-index and previous surgery. In the laparoscopic group, seven operations (CON) were converted to open la- parotomy (29 %) because of large inflammatory mass and/or fistula. The mean intraoperative blood loss was significantly higher in CON- and OPEN-groups than in LAP-group (P<0. 01). Major com- plications occurred only in one patient who underwent laparoscopic assisted high anterior resection. Patients who underwent laparoscopic operation tolerated p. o. liquids sooner than patients who under- went open surgery (median: 2 vs. 5 day, P<0. 05). Compared with the CON- and OPEN-groups, patients in LAP-group had lower analgesic requirements (median: 3 vs. 6 and S day, P<0. 01). The median postoperative length of stay was significantly shorter in LAP-group than in OPEN-group (median: 11 vs. 14 day, P<0. 05). Our study showed that LAP is technically feasible for Crohn's disease. The preoperative correct diagnosis and selection of indications are very important, because the laparoscopic mobilization and resection may be difficult or impossible in patients with large fixed masses, multiple complx fistulas, or recurrent Crohn'sdisease.
文摘Objective To explore the e ect of 3D laparoscopic assisted on the learning e ect of students in clinical teaching.Methods A total of 56 students were divided into control group and observation group,each with 5 years of undergraduate internship and training doctors. e control group was taught by traditional teaching methods. e observation group was treated with 3D laparoscopic assisted teaching. e two groups were 120 minutes.Compare the two groups of students to master the knowledge of the situation and the evaluation of the two teaching methods.Results e teaching results and satisfaction degree of the 3D laparoscopic assisted teaching group were signi cantly better than those of the traditional teaching group(91.6±4.5)and(80.5±4.8),respectively. e di erence was statistically signi cant(t=2.18,P<0.05).Conclusion rough advanced 3D laparoscopic assisted surgery,students can provide real,image,vivid,comprehensive disease related image information,improve students'interest in learning,but also make it easier for students to understand the clinical knowledge.
