ABSTRACT
Objective@#To investigate the clinical efficacy of reduced port laparoscopic radical resection on colorectal cancer.@*Methods@#Clinical data of 46 patients with colorectal cancer undergoing reduced port laparoscopic radical resection were retrospectively analyzed.@*Results@#All of 46 patients underwent laparoscopic surgery, with an average operation time of 206 minutes, an average intraoperative bleeding of 56 ml, an average number of lymph nodes removement of 12/case (ranged from 6 to 21). One case had incision infection, 2 cases had anastomotic leakage, and they all recovered and discharged after treatment.@*Conclusions@#Reduced port laparoscopic radical resection of colorectal cancer is safe and feasible, reduces labor costs, and has a good clinical efficacy, which is worthy of clinical promotion.
ABSTRACT
Objective To investigate the clinical efficacy of reduced port laparoscopic radical resection on colorectal cancer.Methods Clinical data of 46 patients with colorectal cancer undergoing reduced port laparoscopic radical resection were retrospectively analyzed.Results All of 46 patients underwent laparoscopic surgery,with an average operation time of 206 minutes,an average intraoperative bleeding of 56 ml,an average number of lymph nodes removement of 12/case (ranged from 6 to 21).One case had incision infection,2 cases had anastomotic leakage,and they all recovered and discharged after treatment.Conclusions Reduced port laparoscopic radical resection of colorectal cancer is safe and feasible,reduces labor costs,and has a good clinical efficacy,which is worthy of clinical promotion.
ABSTRACT
Objective To study the level of vascular endothelial growth factor(VEGF)in perioperative period of acute myocardial infarction (AMI)patients received percutaneous coronary intervention (PCI),and to analyze the predictive value of VEGF level for AMI diagnosis and revascularization after PCI.Methods From January 2015 to January 2017,90 AMI patients in Rizhao Central Hospital were selected as the observation group.During the same period,50 healthy subjects were selected as the control group.The changes of VEGF level in the observation group before and after PCI were observed and compared with those in the control group.According to PCI postoperative revascularization,the observation group was divided into blood supply complete group (A group)and blood supply incomplete group (B group),the serum VEGF levels were compared between the two groups after operation.Results The VEGF levels in the observation group before PCI,immediately after operation,2d after operation,7d after opera-tion were (249.2 ±32.1)ng/L,(329.4 ±56.1)ng/L,(276.5 ±37.1)ng/L,(256.2 ±29.4)ng/L,respectively, which were significantly higher than (109.3 ±16.3 )ng/L in the control group,there were statistically significant differences between the two groups (t＝5.626 10.325,6.885,6.115,all P＜0.05 ).The immediate postoperative VEGF level of the observation group was (329.4 ±56.1)ng/L,which was significantly higher than that before surgery (t＝5.258,P＜0.05 ).The immediate postoperative VEGF level between B group and A group had no statistically significant difference (P＞0.05 ).The serum levels of VEGF in B group at postoperative 2d,7d were (283.2 ± 38.3)ng/L,(261.2 ±21.4)ng/L,respectively,which were significantly higher than those in A group (t＝4.357, 4.529,all P＜0.05).Conclusion The serum VEGF level can sensitively reflect the indicators of coronary ischemia hypoxia and the reconstruction of endothelial injury in patients with AMI,and can be used as the basis for evaluating the effect of revascularization after PCI.