6257rv7 发表于 2024-6-25 06:30:40

见微知著 | 腹腔镜下为患超低位直肠癌的85岁高龄老人精细保肛!次日就可下床!?


    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">专题</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">"经腹会阴联合直肠癌根治术"——一个听起来就让人<span style="color: black;">安心</span>的手术名<span style="color: black;">叫作</span>,根治术嘛,治完就好了,就<span style="color: black;">没</span>后顾之忧了。可是,自此之后,“后”顾之忧就来到了前面!<span style="color: black;">由于</span>,在过去低位(超低位)直肠癌的<span style="color: black;">病人</span>,手术<span style="color: black;">其中</span>是<span style="color: black;">必须</span>将其肛门进行切除,并将肠道拖出于体外,在<span style="color: black;">病人</span>腹部<span style="color: black;">创立</span>人工肛门(造瘘口)。 </p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">近期,河南理工大学<span style="color: black;">第1</span><span style="color: black;">附庸</span>医院(焦作市第二人民医院)为85岁高龄老人进行的保肛手术就更具现实<span style="color: black;">道理</span>和挑战性!老人术前免插胃管,术后<span style="color: black;">次日</span>就恢复了<span style="color: black;">摄食</span>,并可下床活动。<span style="color: black;">一块</span>来见识一下吧!</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">精细</span>保肛行动进行中!</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">"经腹会阴联合直肠癌根治术"——一个听起来让人很<span style="color: black;">安心</span>的手术名<span style="color: black;">叫作</span>,根治术嘛,治完就好了,就<span style="color: black;">没</span>后顾之忧了。可是,自此之后,“后”顾之忧就来到了前面!是的,<span style="color: black;">由于</span>低位(超低位)直肠癌的<span style="color: black;">病人</span>,手术<span style="color: black;">其中</span>是<span style="color: black;">必须</span>将其肛门进行切除,并将肠道拖出于体外,在<span style="color: black;">病人</span>腹部<span style="color: black;">创立</span>人工肛门(造瘘口)。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q1.itc.cn/q_70/images03/20240524/4a6b75a66ee2415e9bb259b863749182.png" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">腹部的小红洞<span style="color: black;">便是</span>造瘘口</span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q8.itc.cn/q_70/images03/20240524/0b22862c77404ccdb09e0bafb71f78e3.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">经过</span><span style="color: black;">精细</span>低位保肛术成功保肛</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">经过</span><span style="color: black;">认识</span>直肠癌的<span style="color: black;">关联</span>手术,河南理工大学<span style="color: black;">第1</span><span style="color: black;">附庸</span>医院(焦作市第二人民医院)普通外科二病区团队为一位85岁高龄老人顺利进行的保肛手术就更加具现实<span style="color: black;">道理</span>!老人术前免插胃管,术后<span style="color: black;">次日</span>就恢复了<span style="color: black;">摄食</span>,并可下床活动。走,咱们<span style="color: black;">一块</span>来见识一下吧!</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">在我国,直肠癌的发病率相对较高,且中低位直肠癌约占70%,低位直肠癌的传统手术<span style="color: black;">必须</span>永久性造口,随着<span style="color: black;">病人</span>对生活质量<span style="color: black;">需求</span>的<span style="color: black;">加强</span>,低位保肛的需求<span style="color: black;">亦</span>越来越大。<span style="color: black;">日前</span>普通外科二病区针对低位直肠癌病人常规开展改良Bacon、ISR手术,实现了肿瘤切除的<span style="color: black;">精细</span>性和肛门<span style="color: black;">保存</span>的可能性。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q7.itc.cn/q_70/images03/20240524/8b498129c88c4885839ff280c45b1e29.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q4.itc.cn/q_70/images03/20240524/cf77d3563c1247e6bdf4db5f67d91ee1.png" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q3.itc.cn/q_70/images03/20240524/b9071b6c70f7463aa0d74a32017bb3ca.png" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q8.itc.cn/q_70/images03/20240524/a1eff5e9bc19414bb15d4e542b6326cb.png" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q6.itc.cn/q_70/images03/20240524/b2bf8dbe0cce4925aaa510e9abd43160.png" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">本周三,普通外科二病区乔超锋<span style="color: black;">专家</span>带领科室团队与河南省人民医院张超<span style="color: black;">专家</span>团队针对“<span style="color: black;">精细</span>保肛”进行了深入的交流学习,<span style="color: black;">经过</span>这次交流学习,<span style="color: black;">针对</span>低位保肛技术有了更深层次的认识,<span style="color: black;">亦</span>必将给<span style="color: black;">更加多</span>的低位直肠癌<span style="color: black;">病人</span>带来福音。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q5.itc.cn/q_70/images03/20240524/7493f1d08dfd42d2b1f0b1b4651dca30.png" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">近期,我科接诊了一例85岁高龄距肛缘3cm的直肠癌病人,术前乔超锋<span style="color: black;">专家</span>组织消化道肿瘤多学科团队进行会诊,制定个体化的治疗<span style="color: black;">方法</span>,<span style="color: black;">精细</span>实施了超低位保肛手术。术前<span style="color: black;">经过</span>免插胃管、术后<span style="color: black;">初期</span><span style="color: black;">摄食</span>、<span style="color: black;">初期</span>下床活动等<span style="color: black;">办法</span>,充分<span style="color: black;">表现</span>了快速<span style="color: black;">恢复</span>的理念,减轻<span style="color: black;">病人</span>痛苦,缩短了住院日期,减少住院<span style="color: black;">花费</span>,<span style="color: black;">同期</span><span style="color: black;">由于</span>肛门的<span style="color: black;">保存</span>,<span style="color: black;">极重</span>地<span style="color: black;">保准</span>了<span style="color: black;">病人</span>以后的生活质量。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">普通外科二病区在乔超锋<span style="color: black;">专家</span>的带领下,<span style="color: black;">持续</span>地学习交流新知识,并运用到<span style="color: black;">实质</span>工作中去。从2018年NOSES联盟的加入,到2022年消化道肿瘤MDT多学科交流团队建设到2023年举办腹腔镜结直肠规范手术焦作站学术研讨会和ERAS快速<span style="color: black;">恢复</span>理念的开展,再到今年的腹腔镜直肠癌<span style="color: black;">精细</span>保肛,<span style="color: black;">咱们</span>的团队敢为人先,突破瓶颈,精益求精。相信在不久的将来,腹腔镜直肠癌超低位保肛技术将在临床上得到更广泛的应用,为<span style="color: black;">更加多</span><span style="color: black;">病人</span>带来福音。能够<span style="color: black;">帮忙</span><span style="color: black;">病人</span>更好地应对直肠癌的挑战。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q4.itc.cn/q_70/images03/20240524/4315ba3b0e4e4ddaa96efa8e788fea3a.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
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听听海 发表于 2024-8-22 03:13:59

在遇到你之前,我对人世间是否有真正的圣人是怀疑的。

nykek5i 发表于 2024-9-29 01:35:35

你的见解独到,让我受益匪浅,期待更多交流。

nykek5i 发表于 2024-10-1 01:13:19

认真阅读了楼主的帖子,非常有益。

4lqedz 发表于 2024-10-1 20:37:25

系统提示我验证码错误1500次 \~゛,

qzmjef 发表于 2024-10-4 04:46:44

期待与你深入交流,共探知识的无穷魅力。

4zhvml8 发表于 2024-10-29 09:18:23

这夸赞甜到心里,让我感觉温暖无比。
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