使用近红外光观测进行尿道可视化,用于跨门/周围门全腹腔切除
Keisuke Goto1, Shunjin Ryu2, Yuta Imaizumi1
1Department of Digestive Surgery, Kawaguchi Municipal Medical Center, Kawaguchi, Japan.
Anticancer research
|March 4, 2025
概括
一个光尿道导管有助于视觉化在跨门全腹腔切除,可能防止尿道损伤在高风险的患者接受直肠癌手术.
科学领域:
- 手术瘤学手术瘤学
- 最少侵入性的手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 透过门的全腹膜切除术 (TaTME) 对下直肠癌和深盆腔手术有价值.
- 在技术上,TaTME要求很高,包括尿道损伤在内的风险.
- 尿道可视化方法是有限的.
研究的目的:
- 评估在TaTME期间使用光尿道导管可视化尿道的可行性.
- 评估这种技术在预防尿道损伤方面的有效性.
主要方法:
- 在2022年4月至2023年12月期间,对17名接受TaTME或跨膜全膜切除 (TP-TME) 的患者进行了回顾性审查.
- 由于尿道损伤的高风险,患者被放置光尿道导管.
- 检查了手术结果,包括尿道可视化和损伤.
主要成果:
- 尿道可视化在9.1%的腹腔镜腹腔经切除病例 (1/11) 中实现.
- 尿道可视化在百分之百的腹腔镜全盆腔排泄病例中成功 (3/3).
- 在任何患者中都没有报告尿道损伤.
结论:
- 光尿道导管插入可能有助于在TaTME/TP-TME期间视觉化尿道.
- 这种技术在高风险患者中有望预防尿道损伤.
- 对复杂的直肠手术的这种方法进行进一步的研究是有必要的.
更多相关视频
相关概念视频
Assessment of the Rectum and Anus
131
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
131
Total Internal Reflection Fluorescence Microscopy
5.6K
Total internal reflection fluorescence microscopy or TIRF is an advanced microscopic technique used to visualize fluorophores in samples close to a solid surface with a higher refractive index, such as a glass coverslip. TIRF only allows fluorophores in proximity to the solid surface to be excited. When light from a medium with a lower refractive index (such as air) hits the glass coverslip at a critical angle, the light undergoes total internal reflection stead of passing through the glass.
5.6K


