[评估使用双链子进行中低直肠癌腹腔镜前切除的过门反射技术]
J D Zhang1, G F Huang1, P J Wang1
1Department of General Surgery, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou 450008, China.
Zhonghua zhong liu za zhi [Chinese journal of oncology]
|February 13, 2026
概括
通过门进行反转的技术,使用双链子,为直肠癌手术提供了一种安全有效的方法. 与传统方法相比,这种方法减少了保护性口腔的需要,缩短了切口,并减少了手术后的疼痛.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 腹腔镜前切除是中低直肠癌的标准手术程序.
- 优化手术技术以改善结果和减少并发症至关重要.
- 采用双袋弦子的跨门反射技术是一种替代方法.
研究的目的:
- 为了评估用双袋绳子进行的过门性反射技术的安全性和有效性.
- 为了比较这种技术与传统的双刀法在腹腔镜前切除中低直肠癌.
主要方法:
- 对238名中低直肠癌患者进行了回顾性分析,这些患者接受了腹腔镜前切除.
- 在倾向分数匹配后,使用双袋弦法的23名患者和使用双法的69名患者之间的比较.
- 评估手术结果,病理指标和术后并发症.
主要成果:
- 双袋弦子组显示出明显较低的保护性静脉口腔率 (P=0.049).
- 较短的切口长度 (P<0.01) 和减少的手术后疼痛 (P=0.024) 在双子子组观察到.
- 两组之间没有发现标本长度,远端边缘,淋巴结检索或门泄漏率的显著差异.
结论:
- 采用双链针的透过门反射技术是中低直肠癌的安全和可行的选择.
- 这种技术有效地减少了保护性口腔的需要,缩短了手术切口,并缓解了手术后的疼痛.
- 这种方法具有优势,因为在腹腔镜前切除过程中可以消除缺血区域.
相关概念视频
Assessing Body Temperature - Rectal
12.8K
Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
12.8K
Double Resonance Techniques: Overview
788
Double resonance techniques in Nuclear Magnetic Resonance (NMR) spectroscopy involve the simultaneous application of two different frequencies or radiofrequency pulses to manipulate and observe two distinct nuclear spins. One important application of double resonance is spin decoupling, which selectively suppresses coupling with one type of nucleus while observing the NMR signal from another nucleus, simplifying the spectrum and enhancing resolution.
Spin decoupling is usually achieved by...
Spin decoupling is usually achieved by...
788
Problem-Solving: Tuning of a Guitar String
1.1K
In the case of stringed instruments like the guitar, the elastic property that determines the speed of the sound produced is its linear mass density or the mass per unit length. This is simply called the linear density. If the string's linear density is constant along the string, then the linear density is simply the total mass divided by the total length.
The string's wave speed can be regulated by varying the linear density. Tension is the other property that determines the speed of...
The string's wave speed can be regulated by varying the linear density. Tension is the other property that determines the speed of...
1.1K
Fixing Double-strand Breaks
15.0K
The double-stranded structure of DNA has two major advantages. First, it serves as a safe repository of genetic information where one strand serves as the back-up in case the other strand is damaged. Second, the double-helical structure can be wrapped around proteins called histones to form nucleosomes, which can then be tightly wound to form chromosomes. This way, DNA chains up to 2 inches long can be contained within microscopic structures in a cell. A double-stranded break not only damages...
15.0K
Fixing Double-strand Breaks
4.5K
4.5K
Muscles of the Anterior Neck
4.9K
The anterior neck muscles are the group of muscles covering the front part of the neck. These muscles are classified into three subgroups. The first one is the superficial muscles, the most visible muscles in the front of the neck. It includes the platysma and sternocleidomastoid. The second group is the suprahyoid muscles, located above the hyoid bone. This group comprises the digastric, mylohyoid, geniohyoid, and stylohyoid. Lastly, the infrahyoid muscles are found below the hyoid bone and...
4.9K


