AIM:To evaluate trans-anal reinforcing sutures in low anterior resection using the double-stapled anastomosis technique for primary rectal cancers performed at a single institution.METHODS:The data of patients who rec...AIM:To evaluate trans-anal reinforcing sutures in low anterior resection using the double-stapled anastomosis technique for primary rectal cancers performed at a single institution.METHODS:The data of patients who received transanal reinforcing sutures were compared with those of patients who did not receive them after low anterior resection.Patients who underwent laparoscopic low anterior resection and the double-stapled anastomosis technique for primary rectal cancer between January2008 and December 2011 were included in this study.Patients with no anastomosis,a hand-sewn anastomosis,high anterior resection,or preoperative chemoradiation were excluded.The primary outcomes measured were the incidence of postoperative anastomotic complications and placement of a diverting ileostomy.RESULTS:Among 110 patients,the rate of placement of a diverting ileostomy was significantly lower in the suture group(SG)compared with the non-suture control group(CG)[SG,n=6(12.8%);CG,n=19(30.2%),P=0.031].No significant difference was observed in the rate of anastomotic leakage[SG,n=3(6.4%);CG,n=5(7.9%)].CONCLUSION:Trans-anal reinforcing sutures may reduce the need for diverting ileostomy.A randomized prospective study with a larger population should be performed in the future to demonstrate the efficacy of trans-anal reinforcing sutures.展开更多
目的 探讨肩关节镜下缝线桥技术治疗巨大肩袖损伤的临床效果。方法 选取我科2018年1月至2020年9月收治的肩袖巨大撕裂病人120例,随机纳入单排缝合组、双排缝合组和缝线桥组,每组40例。比较三组病人治疗前后肩关节疼痛视觉模拟量表(visua...目的 探讨肩关节镜下缝线桥技术治疗巨大肩袖损伤的临床效果。方法 选取我科2018年1月至2020年9月收治的肩袖巨大撕裂病人120例,随机纳入单排缝合组、双排缝合组和缝线桥组,每组40例。比较三组病人治疗前后肩关节疼痛视觉模拟量表(visual analogue scale,VAS)评分、肩关节Constant-Murley功能评分、加州大学洛杉矶分校(University of California at Los Angeles,UCLA)肩关节评分和美国肩肘外科协会(American Shoulder and Elbow Surgeons,ASES)评分及术后并发症发生情况。结果三组病人术后3个月时VAS评分未见明显统计学差异,但是缝线桥组术后6个月及9个月时VAS评分较单排缝合及双排缝合组明显降低,差异具有统计学意义(P<0.05);术后3、6、12、24个月,缝线桥组的Constant-Murley功能评分、UCLA评分和ASES评分均较单排缝合组及双排缝合组明显增高,差异具有统计学意义(P<0.05);缝线桥组病人再撕裂发生率较单排缝合组及双排缝合组明显降低,差异具有统计学意义(P<0.05)。结论 肩关节镜下利用缝线桥技术修复巨大肩袖全层撕裂,能够取得良好的疗效,更有利于腱骨愈合,是一种合理有效的治疗手段。展开更多
文摘AIM:To evaluate trans-anal reinforcing sutures in low anterior resection using the double-stapled anastomosis technique for primary rectal cancers performed at a single institution.METHODS:The data of patients who received transanal reinforcing sutures were compared with those of patients who did not receive them after low anterior resection.Patients who underwent laparoscopic low anterior resection and the double-stapled anastomosis technique for primary rectal cancer between January2008 and December 2011 were included in this study.Patients with no anastomosis,a hand-sewn anastomosis,high anterior resection,or preoperative chemoradiation were excluded.The primary outcomes measured were the incidence of postoperative anastomotic complications and placement of a diverting ileostomy.RESULTS:Among 110 patients,the rate of placement of a diverting ileostomy was significantly lower in the suture group(SG)compared with the non-suture control group(CG)[SG,n=6(12.8%);CG,n=19(30.2%),P=0.031].No significant difference was observed in the rate of anastomotic leakage[SG,n=3(6.4%);CG,n=5(7.9%)].CONCLUSION:Trans-anal reinforcing sutures may reduce the need for diverting ileostomy.A randomized prospective study with a larger population should be performed in the future to demonstrate the efficacy of trans-anal reinforcing sutures.
文摘目的 探讨肩关节镜下缝线桥技术治疗巨大肩袖损伤的临床效果。方法 选取我科2018年1月至2020年9月收治的肩袖巨大撕裂病人120例,随机纳入单排缝合组、双排缝合组和缝线桥组,每组40例。比较三组病人治疗前后肩关节疼痛视觉模拟量表(visual analogue scale,VAS)评分、肩关节Constant-Murley功能评分、加州大学洛杉矶分校(University of California at Los Angeles,UCLA)肩关节评分和美国肩肘外科协会(American Shoulder and Elbow Surgeons,ASES)评分及术后并发症发生情况。结果三组病人术后3个月时VAS评分未见明显统计学差异,但是缝线桥组术后6个月及9个月时VAS评分较单排缝合及双排缝合组明显降低,差异具有统计学意义(P<0.05);术后3、6、12、24个月,缝线桥组的Constant-Murley功能评分、UCLA评分和ASES评分均较单排缝合组及双排缝合组明显增高,差异具有统计学意义(P<0.05);缝线桥组病人再撕裂发生率较单排缝合组及双排缝合组明显降低,差异具有统计学意义(P<0.05)。结论 肩关节镜下利用缝线桥技术修复巨大肩袖全层撕裂,能够取得良好的疗效,更有利于腱骨愈合,是一种合理有效的治疗手段。
