【摘 要】
：
Background Robotic totalmesorectal excision(RTME)for rectal cancer has recently been increasingly used; technical feasibility and short-term outcomes have been reported in detail.Few studies have pres
【机 构】
：
General Surgery Center of PLA,Southwest Hospital,the Third Military Medical University,Chongqing,Chi
论文部分内容阅读
Background Robotic totalmesorectal excision(RTME)for rectal cancer has recently been increasingly used; technical feasibility and short-term outcomes have been reported in detail.Few studies have presented clinical efficacy and mid-term outcomes for a large sample size.The aim of this study is to present oncologic efficacy and mid-term outcomes of robotic total mesorectal excision for rectal cancer and to provide our experiences regarding these surgically challenging issues.Methods Three hundred ninety-two patients received RTME between March 2010 and June 2015.Patient characteristics,perioperative clinical results,complications,pathologic details,recurrence,and mid-term outcomes were evaluated.Results Duration of surgery ranged from 80 to 388 min(median 224 min).There were no deaths during surgery and no anesthesiology complications in our series.The conversion rate was 1.1%(4/392).The postoperative complication rate was 10.2%; anastomosis leakage was the most common complication with an incidence of 4.1%(16/392).The median blood loss was 67.5±34.3(20-600).The mean postoperative hospital stay was 12.1±6.1(6–64).Circumferential resection margins were negative in 387 out of 392 cases(98.7%).The mean number of harvested lymph nodes was 14.6.Two deaths occurred during 30-day mortality.At a mean follow-up of 24 months(range 3–66 months),there were 35 deaths.Conclusion Our results suggest that RTME is technically feasible for rectal cancer and can yield good short-and mid-term oncologic outcomes.
其他文献
目的：探讨食物变应原皮试反应强度与血清特异性IgE(sIgE)浓度之间的相关性。方法：对拟诊过敏性疾病的103 例患者(局限于单个系统症状者38 例,多系统症状者65 例。其中59例存在呼吸道症状,87 例存在皮肤症状,15 例存在严重过敏反应病史)。以北京新华联-协和药业的4 种5 个食物变应原试剂：小麦、花生、海虾、海蟹、河蟹作皮肤点刺试验,并用Thermo Phadia250(Uni-CAP
The soluble form of the transmembrane glycoprotein,FcεRIα which corresponds to the high-affinity receptor for IgE,is found in serum.Growing evidence suggests the pathogenic role of IgE and FcεRI in au
目的：探讨哮喘对学龄前儿童睡眠质量的影响.方法：采取随机整群分层抽样方法对浙江台州5个幼儿园4-7岁的268名学龄前儿童进行调查.应用由家长完成的问卷调查表确定哮喘和相关症状,应用儿童睡眠习惯问卷(CSHQ)对儿童的睡眠质量进行评估.评分越高表示睡眠质量越差.CSHQ总评分高于41 分,即为睡眠质量不良.结果：台州4-7岁儿童哮喘患病率为5.7％.哮喘患儿的睡眠质量总评分显著高于非哮喘患儿(β=7
目的：测定系统性红斑狼疮(systemic lupus erythematosus,SLE)和患者血清IgE 及其可溶性高亲和力受体α链(sFcεRIα)的水平,了解肥大细胞活化与SLE 的关系.方法：(1)采用课题组自建的量子点流式微球技术(cytometric bead array,CBA)检测86 例门诊SLE 患者(SLE 组)和64 名健康体检者(对照组)血清sFcεRIα水平,免疫散射
目的 检测冠心病患者血清IgE的水平,探索IgE水平与冠心病及冠心病患者的动脉狭窄程度的相关性.方法 分别收集200例冠心病患者(冠状动脉造影结果显示动脉狭窄程度≥50％)、和50例非冠心病患者(冠状动脉造影结果显示动脉狭窄＜50％)的血清及临床资料,同时收集90例健康体检者血清；采用Gensini评分计算患者的动脉狭窄程度,采用散射比浊法检测血清IgE 的水平.比较健康体检者、非冠心病患者和冠心
自身免疫病是免疫系统对自身成分的异常免疫应答，以自身抗体和/或致敏淋巴细胞损伤自身器官组织为特征，其病因和发病机制尚不十分清楚。既往研究主要集中在IgG型自身抗体，也有一些IgM和IgA型自身抗体。近年来越来越多的证据表明IgE与自身免疫病密切相关，一方面，多种自身免疫病中发现了IgE的存在，这种IgE是仅仅作为过敏原特异性IgE还是IgE型自身抗体尚不清楚；另一方面，这种IgE是仅仅激活肥大细胞
目的：通过检测冠心病患者血清可溶性生长刺激表达因子-2(soluble growth stimulating express gene 2,sST2)水平,探讨其在冠心病的诊断以及对冠状动脉血管病变严重程度预测中的临床意义.方法：选取2016年8月至2017年2月上海市第一人民医院心内科住院患者179 例,以及门诊健康体检人群55 例.入选患者分为三组：健康体检对照55 例,因胸痛胸闷入院但经皮冠
Hepatocellular carcinoma(HCC)is a world-wide fatal disease.Epithelial-mesenchymal transition(EMT)plays a critical role in HCC invasion,metastasis and recurrence.
目的：研究肝脏黏液性囊性肿瘤的诊治方法并对相关诊治效果进行讨论.方法：回顾性分析近些年国内外关于肝脏黏液性囊性肿瘤的相关文献,按照不同的诊治方法分别进行概括;评价不同诊断方法的诊断率及治疗手段.结果：随着影像学等诊断方法的发展,肝脏黏液性囊肿的诊断率已大大提高,手术治疗是肝脏黏液性囊性肿瘤的有效治疗手段.结论：目前对于肝脏黏液性囊性肿瘤的术前诊断主要依赖于影像学检查,病理学诊断仍是该病诊断的金标准
自2002年华西医院严律南报告国内首例成功的成人间活体肝移植以来,截止2016年底医院已累计完成活体肝移植手术388例.随着近年来微创手术的广泛开展,腹腔镜在活体供肝的切取方面也取得了进展,团队在2015-2016年间已成功开展腹腔镜活体肝移植供肝切取术13例,其中右半肝8例,左半肝3例,左外叶2例,在数量上位居全球第三位,特别是2016年完成了世界首例达芬奇机器人辅助下Ⅲ段供肝切取小儿活体肝移植