纳米碳在达芬奇机器人直肠癌根治术中的应用
DOI: 10.3971/j.issn.1000-8578.2018.18.0235
Keywords: A Meta-analysis,Comparison of Efficacy Between S-1 and Capecitabine/Fluorouracil on Advanced Colorectal Cancer: A Meta-analysis,Relation Between Metabolic Parameters of 18F-FDG PET/CT and Clinicopathological Features of Colorectal Cancer Patients,Prognostic and Clinicopathological Significance of PD-L1 Expression for Colorectal Cancer: A Meta-analysis,Composition and Laboratory Examination Characteristics of 187 Colorectal Cancer Patients with Schistosomiasis,Clinical Effect of Oral Nutritional Supplements in Patients with Colorectal Cancer After Emergency Surgery,The Second Primary Cancers in Patients with Prostate Cancer: An Update,Effects of NDUFA4 Overexpression on Growth of Human Colon Cancer Cells in vitro,Expression of Programmed Cell Death 1 and Lymphocyte Activation Gene 3 in Perioperation of Adenocarcinoma of Esophagogastric Junction and Related Significance,Role of Diffusion-weighted Magnetic Resonance Imaging in Forecasting Curative Effect of Preoperative Chemoradiotherapy on Locally Advanced Rectal Cancer,Indocyanine Green Angiography for Preserving Ureteral Branch of Uterine Artery in Radical Hysterectomy,Short-term Efficacy and Safety of Total Laparoscopic and Laparoscopic-assisted Radical Gastrectomy on Distal Gastric Cancer,Progress of Inhibiting Embden-Meyerhof-Parnas in Treatment of Colorectal Cancer,New Pattern of Rectal Cancer Treatment: Total Neoadjuvant Therapy,Influence of TYMP Polymorphism on Clinical Outcomes of Colorectal Cancer Patients Received Adjuvant Chemotherapy After R0 Resection
Abstract:
摘要 目的 总结纳米碳示踪剂在达芬奇机器人直肠癌根治术的使用体会。方法 收集分析2017年7月—2017年12月经达芬奇机器人直肠癌根治术中应用纳米碳示踪剂完成的11例患者临床资料。结果 全部11例手术均在机器人辅助下完成，无中转开腹，3例行回肠保护性造口。手术时间（184.6±23.5）min，术中出血（30.9±7.6）ml。切除肠管长度（18.8±2.1）cm，淋巴结清扫数目（17.5±1.9）枚，阳性（3.4±1.5）枚，其中微小淋巴结（7.5±1.4）枚。下切缘距肿瘤（2.8±0.4）cm，手术标本两断端及环周切缘未见癌，均符合全直肠系膜切除标准。术后肛门或造口排气时间（25.9±7.4）h，恢复进食时间（12.7±3.1）h，术后住院时间（6.6±0.7）d。未出现出血、感染、肠瘘或肠梗阻等并发症，术后随访1~6月暂未发现复发或转移。结论 在达芬奇机器人直肠癌根治术中使用纳米碳示踪剂简便安全，有利于淋巴结清扫，特别是微小淋巴结的清扫
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