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ObjectiveToevaluatethefeasibilityandresultsof transorallaparoscopic thyroidectomy. MethodThyroidectomy was attempted in 5 cases,including 4 females and 1 male with the average age of 42 years( range 35 -60 years).All patients was diagnosed as single nodule of the thyroid gland confirmed by B-mode ultrasound examination before the operation.The average diameter of nodule was 2.5 cm (range 2 - 3.4 cm). ResultTransoral laparoscopic thyroidectomy was perfoormed successfully in all 5 patients.The operation time was 120 - 210 min,averaging 170 min,blood loss during the operation was 15-60 ml,the postoperative hospitalization was 4 days. There was no conversion to open surgery,no recurrent laryngeal nerve injury,nor parathyroid glands dysfunction. ConclusionsTransoral laparoscopic thyroidectomy is feasible and safe,giving excellent cosmetic results.
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Objective To investigate the effect of somatostatin on the internal environment in the patients with intestinal obstruction. Methods 226 patients with acute intestinal obstruction were randomiy divided into A and B groups. In group A, the patients received routine therapy, and in group B the patients received routine therapy plus somatostatin. The clinical, laboratory and immunological indices in the both groups were detected. Results The clinical, laboratory and immunological indices of patients in group B were obviously better than those of patients in group A(P
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Objective: To explore the clinical significance of combination preoperative carbohydrate loading and postoperative enteral nutrition in patients with gastric cancer during perioperative period. Methods: 70 patients were randomly divided into group A(preoperative fasting + postoperative EN,n = 23),group B(preoperative carbohydrate loading + postoperative TPN,n = 23) and group C(preoperative carbohydrate loading + postoperative EN,n = 20).After operation,insulin sensitivity,nutritional status,immune function and clinical outcome were compared among three groups. Results: Compared with the other two groups in insulin sensitivity,nutritional status,immune function and clinical outcome,the group C was better and different(P