Clinical practice of transperineal minimally invasive abdominoperineal excision / 中华消化外科杂志

The abdominoperineal excision (APE) is still one of the standard operations for low rectal cancer. The exralevator APE can reduce the positive rate of circumferential margin and perforation rate of rectal cancer, but the incidence of postoperative complications is relatively high. With the continuous development of minimally invasive surgery, the transperineal minimally invasive Abdominoperineal excision (Tpm-APE) is proposed. Compared with traditional APE, the Tpm-APE has potential technical advantages, but there is a lack of large sample and multicenter clinical research evidence. The authors share the design and results of an international multicenter clinical study to investigate the clinical practice of Tpm-APE in the treatment of low rectal cancer.

Analysis and Treatment in Neurocysticercosis with Headache Symptoms / 中国康复理论与实践

@#Objective To explore the diagnosis and treatment in neurocysticercosis with headache symptoms.MethodsThe clinical data of 112 patients suffered from neurocysticercosis with headache symptoms from January 2001 to December 2009 were analyzed retrospectively. All the patients were divided into two groups: extraparenchymal cysticercosis and intraparenchymal cysticercosis.ResultsEdema could cause headache symptoms in the paitents with intraparenchymal cysticercosis. Most of these patients could recover after medicine treatment. The patients with extraparenchymal cysticercosis, whose headache symptoms were caused by hydrencephaly and edema, usually needed surgical procedures and medical therapy.ConclusionThe treatment should be individualized because headache symptoms could result in different causes. Integration of surgical procedures and medical therapy is effective to relieve headache symptoms caused by neurocysticercosis.

Nursing and Guidance after Radiofrequency Thermocoagulation Ambulatory Surgery for Cervical Disc Herniation / 中国康复理论与实践

@#Objective To explore a new modality of nursing care and convalescence guide for ambulatory (day) surgery of cervical disc herniation with CT guided multi-point radiofrequency (RF) thermocoagulation and target ablation. Methods 16 cases were reviewed. Results All the cases recovered satisfactorily without any complications. Conclusion The new modality of nursing care and convalescence guide is effective on RF for cervical disc herniation.