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find Author "陈跃宇" 2 results
  • Progression in Laparoscopic Endoscopic Rendezvous Procedures for The Treatment of Rectal Carcinoma

    ObjectiveTo explain the advantage of laparoscopic endoscopic rendezvous procedures used to treat rectal carcinoma, and predict the future direction of the surgery methods for rectal carcinoma. MethodsA review and summary based on the clinical experience of our hospital and the published researches about the laparoscopic endoscopic rendezvous procedures over the past years in home and abroad were performed. ResultsLaparoscopy can monitor the situation of the abdominal cavity.Endoscopy can detect the location of rectal carcinoma.Laparoscopic endoscopic rendezvous procedures used to treat rectal carcinoma can combine the advantage of each other.And the purpose of "less invasion, less pain, and faster recovery" will be achieved.The effect of "1+1 > 2" will be realized. ConclusionLaparoscopy and transanal endoscopic microsurgery hybrid could be a naive form of nature orifice transluminal endoscopic surgery to treat rectal carcinoma.

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  • 单吻合器行经肛门直肠膨出修补和直肠黏膜切除术治疗排便障碍综合征的临床疗效观察

    目的对由于直肠前突引起的排便障碍综合征患者使用单吻合器行经肛门直肠膨出修补和直肠黏膜切除,并行术前、术后临床症状和功能评估,评价该方法的手术效果。 方法2010年8月-2013年12月对39例患有直肠前突经过至少4个月的保守治疗未见明显好转的女性患者采取单吻合器行经肛门直肠膨出修补和直肠黏膜切除术(TRREMS)治疗,并观察手术效果、并发症及复发率。 结果平均手术时间为(40.00±3.78)min,术中平均出血量(15.00±5.01)mL,全部患者术后住院观察24 h,均未见明显早期并发症,经随访12~24个月,3例出现手术相关并发症(7.69%),1例吻合口狭窄(2.56%),经扩肛治疗后,症状缓解,能自行排气排便,2例出现肛门周围疼痛不适(5.13%),疼痛评分3级,予以肛周局部外用药物治疗后疼痛缓解。术后排粪造影显示共4例(10.26%)存在直肠前突残留(均为Ⅰ级)。全部患者术后未出现出血、直肠阴道瘘、性交痛等并发症。 结论TRREMS手术治疗直肠前突引起的排便障碍综合征无论在解剖学上还是在功能评价上都是安全有效的,且术后并发症少,术后疼痛轻。

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