目的 探讨腹腔镜超低位直肠癌保肛手术的可行性。方法 回顾性总结2004年9月至2007年10月期间行腹腔镜超低位直肠癌保肛手术58例患者的临床资料。结果 54例在腹腔镜下顺利完成手术，中转开腹4例，无手术死亡病例。平均手术时间187 min，术中平均失血110 ml，术后肛门排气时间平均为2.3 d。手术切除淋巴结平均为18.5个； 随访6~42个月(平均17.6个月)未见切口种植及吻合口复发。结论 腹腔镜超低位直肠癌保肛手术具有创伤小、术后恢复快等优点，可以取得比开腹手术更好的根治效果。
目的 探讨腹腔镜下治疗粘连性肠梗阻的可行性和效果。 方法 分析在腹腔镜下对粘连性肠梗阻行粘连松解术的33例病例。结果 33例均顺利完成腹腔镜下粘连松解术，术后恢复好，无手术并发症发生； 随防6～15个月，均无腹痛、腹胀等症状复发。结论 利用腹腔镜对粘连性肠梗阻有选择地进行粘连松解手术安全、可行，能提高粘连性肠梗阻的治疗效果。
目的探讨同种异体骨对多发性肋骨骨折内固定的治疗疗效。 方法回顾性分析我院2011年1月至2013年9月多发性肋骨骨折40例患者的临床资料，其中男33例、女7例，年龄23～67岁。 结果全组无1例死亡，手术时间为55～120 min，出血量30～120 ml，骨折矫形效果满意，浮动胸壁控制良好，反常呼吸消失，胸廓塑形满意，活动后疼痛减轻。随访3～24个月，内固定材料无明显移位、无折断，无明显急性或慢性排异反应，无骨折不愈合或延迟愈合，近远期无严重并发症发生。 结论用同种异体冻干骨对多发性肋骨骨折进行内固定治疗安全、有效。
Lung cancer is the malignant tumor with the highest incidence and mortality rate in China. Early diagnosis and treatment are key to improving the survival rate and reducing the mortality rate for lung cancer patients. This article introduces the integrated management model for patients with pulmonary nodules/lung cancer developed by West China Hospital of Sichuan University based on “internet plus” and health service team of treatment, nursing, and care. The Integrated Care Management Center has established a multidisciplinary team, using internet platforms and artificial intelligence tools to develop a whole life cycle health service system for patients with pulmonary nodules/lung cancer, which is from the screening of high-risk population for lung cancer, the intelligent risk stratification and follow-up management of pulmonary nodules, the subsequent standardized diagnosis and treatment of lung cancer and comorbidity management, until the patient’s demise. After the implementation of this model, the malignancy rate in surgically treated patients with pulmonary nodules reached 85.08%, and the patient satisfaction score was 95.76. This model provides a new idea and reference for the innovation of chronic disease service model and the management of pulmonary nodules and lung cancer.