ABSTRACT
Objective To investigate the treatment experience of rectal cancer patients with excessively extended surgery after neoadjuvant chemoradiotherapy.Methods Seven cases of rectal cancer patients admitted to our hospital from 2014 to 2016 with excessively extended surgical intervention (6 to 13 months) after neoadjuvant chemoradiotherapy were included in the present study.All of the patients were treated with radical surgery,and the operation effect and postoperative complications were observed.Results Three patients underwent anterior resection of the rectum (Dixon),including 2 cases of anastomotic leakage;3 cases occurred intestinal rupture during operation,1 of them complicated with postoperative pelvic abscess;there were 4 cases complicated with incision infection or liquefaction.No presacral venous plexus hemorrhage occurred.Conclusion Excessively extended surgery after neoadjuvant chemoradiotherapy increases the difficulty of operations and the occurrence of postoperative complications in patients with rectal cancer.
ABSTRACT
A 50-year-old woman underwent left pneumonectomy under general anesthesia. A circulating water mattress covered by a cotton sheet was placed on the operating table, because of an anticipated prolonged surgical time. The mattress's temperature regulator was set at 37oC. After 7 hours of operation in the right lateral decubitus position, 10 x 8 cm sized mixed first- and second-degree burn was found on the right greater trochanteric area, the main weight-bearing site. Although healing occurred without skin graft or complication, this case emphasizes the importance of vigilance to avoid pressure sores and thermal burn injuries during prolonged operations using a circulating water mattress.