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| 1 | Laparoscopic low anterior resection for rectal carcinoma:Complications and management in 132 consecutive patients显示文摘AIM:To analyze the clinical manifestations and risk fac-tors of complications in laparoscopic low anterior resection(LAR)for rectal cancer patients.METHODS:A series of 132 consecutive patients who received laparoscopic LAR for rectal cancer in our center were included.The etiology,diagnosis,treatment and prevention of rectal cancer were studied among the patients with surgery-related complications using both univariate and multivariate regression analysis.RESULTS:No conversion to open surgery was observed and 5 cases converted to hand-assisted laparoscopic operation.The overall morbidity rate was 20.5%.Complications occurred during the operation in 7 patients(5.3%),within 30 postoperative days in 24 patients(18.2%),and within 3 mo in 2 patients(1.5%).The most significant complications were anastomotic leak-age(9.1%)and anastomotic hemorrhage(5.3%).Sizeand location of tumor,pathological staging and preoperative nutrition were significant factors associated with LAR complications,while gender,age and pathological type showed no relevance.Binary logistics regression showed that the size and location of tumor,and pathological staging were independent factors of laparoscopic LAR.All the complications were treated during their onset of clinical manifestations by interventional or conservative therapy.CONCLUSION:Anastomotic leakage is a major com-plication in laparoscopic LAR.The complications may be associated with tumor size and site,and pathological stage.Interventional therapies are of value in the management of laparoscopic LAR complications. | Qian-Lin Zhu,Bo Feng,Ai-Guo Lu,Ming-Liang Wang,Wei-Guo Hu,Jian-Wen Li,Zhi-Hai Mao,Min-Hua Zheng,Department of General Surgery,Shanghai Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China Shanghai Minimally Invasive Surgery Center,Shanghai 200025,China | 2010 | World Journal of Gastroenterology2010，16，36： | 23 |
| 2 | Transumbilical endoscopic surgery:History,present situation and perspectives显示文摘Transumbilical endoscopic surgery or laparo-endoscopic single site(LESS)surgery has become an exciting area of surgical development as innovation continues to move in the 21st century to minimally invasive surgery.The history,present situation and perspectives are reviewed and the nomenclature of this technique is discussed in this article.The range of this technique has been applied in almost all abdominal diseases,surgeries for morbid obesity,hernia and so on,in recent years.It is estimated that 50%-80%of traditional laparoscopic surgery could be performed transumbilically in the next five years according to the LESSCAR consensus.Although the concept of transumbilical laparoscopic surgery is gaining traction rapidly and the instruments have been improved greatly, we should not advocate for slightly improved cosmetic value over safety.Multicenter,randomized and clinical trials are necessary to further elucidate the safety and efficiency of this new technique.Research that examines the efficacy of the new instruments on the market may be helpful to simplify the confusing landscape of new and novel products designed for this purpose. | Jiang-Fan Zhu,Department of Minimally Invasive Surgery,East Hospital of Tongji University,Shanghai 200120,China | 2011 | World Journal of Gastrointestinal Endoscopy2011，3，6： | 13 |
| 3 | Simultaneous laparoscopy-assisted low anterior resection and distal gastrectomy for synchronous carcinoma of rectum and stomach显示文摘Laparoscopic resection of rectal cancer or gastric cancer has been advocated for the benefits of a reduced morbidity,a shorter treatment time,and similar outcomes.However,simultaneous laparoscopy-assisted low anterior resection and distal gastrectomy for synchronous carcinoma of rectum and stomach are rarely documented in literature.Endoscopic examination revealed a synchronous carcinoma of rectum and stomach in a 55-year-old male patient with rectal bleeding and epigastric discomfort.He underwent a simultaneous laparoscopy-assisted low anterior resection and distal gastrectomy with regional lymph nodes dissected.The operation time was 270 min and the estimated blood loss was 120 mL.The patient required parenteral analgesia for less than 24 h.Flatus was passed on postoperative day 3,and a solid diet was resumed on postoperative day 7.He was discharged on postoperative day 13.With the advances in laparoscopic technology and experience,simultaneous resection is an attractive alternative to a synchronous gastrointestinal cancer. | Qian-Lin Zhu,Min-Hua Zheng,Bo Feng,Ai-Guo Lu,Min-Liang Wang,Jian-Wen Li,Wei-Guo Hu,Lu Zang,Zhi-Hai Mao,Feng Dong,Jun-Jun Ma,Ya-Ping Zong,Department of General Surgery,Ruijin Hospital Affiliated to Shanghai Jiaotong University Shanghai Minimally Invasive Surgery Center,Shanghai 200025,China | 2008 | World Journal of Gastroenterology2008，14，21： | 11 |
| 4 | Laparoscopic hepatectomy by curettage and aspiration:a new technique显示文摘背景 Laparoscopic 外科为最小的侵略和快速的手术后的恢复是有益的。自从在在 1990 年代的肝切除术的 laparoscopic hepatectomy 的使用,它在有效、安全的技术的一些机构 worldwide.Lack 被执行了因为肝办理是在 1998 由刮术和渴望为 laparoscopic hepatectomy 阻止一种新技术它开发的进一步的 development.We 的主要障碍。在这份报纸,我们总共在 7 年 practice.Methods 以后分析这种技术的临床的结果 59 个连续病人在我们的机构从 1998 年 8 月由刮术和渴望经历了 laparoscopic hepatectomy 到 2005 年 1 月。这些病人包括了 33 男性和 26 女性,与 47 年的吝啬的年龄。为肝 transecsion laparoscopic, Peng 的多功能的起作用的析象器(LPMOD ) 被使用。损害在 5 .Procedures 在 19 个病人,在 17 的良性的肝肿瘤,在 18 的 intrahepatic 演算,和另外的肝损害包括了恶意的肝肿瘤在 30 个病人,的包括的本地切除术离开了在 28 的侧面的 segmentectomy,和权利在 1 个 .Results Laparoscopic 手术的 hemihepatectomy 在 57 个病人被完成。二个病人(3.4%) 把操作变换成剖腹术。吝啬的操作时间是 143 分钟,吝啬的 intraoperative 血损失是 456 mi。手术后的医院停留的吝啬的长度是 7 天。复杂并发症在 2 个病人(3.4%) 发生了,并且由刮术没有 perioperative death.Conclusion Laparoscopic hepatectomy,渴望为肝切除术有效、安全。 | CAI Xiu-jun LIANG Xiao WANG Yi-fan YU Hong ZHENG Xue-yong HUANG Di-yu PENG Shu-you Department of General Surgery,Sir Run Run Shaw Hospital,College of Medicine Institute of Minimally Invasive Surgery of Zhejiang University,Hangzhou 310016,China (Cai XJ,Liang X,Wang YF,Yu H,Zheng XY,Huang DY and Peng SY) | 2007 | Chinese Medical Journal2007，，20： | 11 |
| 5 | Management of aberrant bile duct during laparoscopic cholecystectomy显示文摘Objective: To investigate the incidence of aberrantbile duct and its management during laparoscopiccholecystectomy (LC).Methods: In 10 000 patients undergoing laparoscopiccholecystectomy from 1992 to July 2001, 3 had theinvolvement of the right accessory hepatic duct. Inpatient 1, the aberrant duct drained into the cysticduct was confirmed by open operation. In patient 2,the aberrant duct, which drained to the common bileduct (CBD), was injured and treated with sutureand ligature under laparoscopy. In patient 3, the ab-errant duct, which also drained to the CBD, wasconfirmed and preserved.Results: All patients recovered well except patient 1who had a transient elevation of ALT. No bile leak-age or other complication occurred.Conclusions: Only variation near the confluence andthe entrance of the cystic duct into the bile duct isdiscovered during laparoscopic cholecystectomy.Right accessory hepatic duct is common and shouldbe preserved during the operation. The accidentallyinjured small accessory hepatic duct can be treatedwith ligature without severe disturbance to liver func-tion. | Ji-Hui Li Cheng-Zhu Zheng Chong-Wei Ke Kai Yin the Center of Minimal Invasive Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China | 2002 | Hepatobiliary & Pancreatic Diseases International2002，1，3： | 4 |
| 6 | Zeus robot-assisted laparoscopic cholecystectomy in comparison with conventional laparoscopic cholecystectomy显示文摘BACKGROUND: The robotic surgical system overcomes many technological obstacles of conventional laparoscopic surgery, and possesses enormous clinical applied potential. The aim of this study was to compare the efficacy of Zeus robot-assisted laparoscopic cholecystectomy with conventional laparoscopic cholecystectomy. METHODS: Forty patients undergoing elective cholecystectomy were randomly divided into two groups. Patients in group A (n=20) underwent Zeus robot-assisted laparoscopic cholecystectomy, and patients in group B (n=20) received conventional laparoscopic cholecystectomy. The parameters on operative field, operative time, the number of actions, the rate of operative errors and minimal trauma were evaluated and compared between the two groups. RESULTS: The number of cleating camera (1.1±1.0 times) and the time of adjusting the operative field (2.2±0.7 minutes) in group A were significantly less than those (4.5±1.5 times) and (7.5±1.2 minutes) in group B. The number of dissection actions (337±86 times) and the rate of operative errors (10%) in group A were less than those (389±94 times), (25%) in group B. The total operation time (104.9±20.5 minutes) and setup time (29.5±9.8 minutes) in group A were significandy longer than those (78.6±17.1 minutes), (12.6±2.5 minutes) in group B. Blood loss and postoperative hospitalization were similar. No postoperative complications occurred in both groups, and open cholecystectomy was performed in each group. CONCLUSIONS: Zeus robot-assisted cholecystectomy inherits the benefits of minimally invasive surgery. The Zeus robotic surgical system is better than conventional laparoscopic technique in controlling the operative field and can be manipulated precisely and stablely though it requires more operative time. | Han-Xin Zhou, Yue-Hua Guo, Xiao-Fang Yu, Shi-Yun Bao, Jia-Lin Liu, Yue Zhang and Yong-Gong Ren Department of Minimally Invasive Surgery, Shenzhen People’s Hospital, Jinan University 2nd Clinical Medicine College, Shenzhen 518020. China Department of Anesthesia, Shenzhen People’s Hospital, Jinan University 2nd Clinical Medicine College, Shenzhen 518020, China | 2006 | Hepatobiliary & Pancreatic Diseases International2006，5，1： | 3 |
| 7 | Chinese clinical practice guidelines for ultrasound-guided irreversible electroporation of liver cancer(version 2022)显示文摘Introduction Liver cancer remains a global health challenge,and its incidence is increasing worldwide.It is estimated that by 2025,more than one million individuals will be affected by liver cancer annually[1,2].In recent years,ablation has become a widely accepted treatment option for patients with primary and secondary liver malignancies[3].The commonly used ablation method for liver cancer is thermal ablation,including radiofrequency ablation. | Min Xu Li-Ting Xie Yue-Yong Xiao Ping Liang Qi-Yu Zhao Zhong-Min Wang Wei-Lu Chai Ying-Tian Wei Lin-Feng Xu Xiao-Kun Hu Ming Kuang Li-Zhi Niu Chen-Guo Yao Hai-Ying Kong Guo Tian Xiao-Yan Xie Xin-Wu Cui Dong Xu Jun Zhao Tian-An Jiang The Interventional Diagnosis and Treatment Group of the Ultrasonic Medicine Branch of Chinese Medical Association,The Nanoknife Tumor Ablation Society of the Interventional Minimally Invasive Therapy Special Committee of China Medicine Education Association | 2022 | Hepatobiliary & Pancreatic Diseases International2022，21，5： | 2 |
| 8 | nternational显示文摘 | Toki T Shiozawa T Hosake N Minimal deviation adenocarcinoma of the uterine cervix has abnormal ex pression of sex steroid receptors CA125 and gastric mucin | 1997 | J Gynecol Pathol1997，16，2： | 1 |
| 9 | AAGL practice report:practice guidelines for manage- ment of intrauterine synechiae显示文摘 | AAGL Advancing Minimally Invasive Gynecology World- wid | 2010 | l Minim Invasive Gynecol2010，17，1： | 1 |
| 10 | Positive end-expiratory(PEEP)may be 'best-PEEP'显示文摘 | Carrotcc Minimal | 1998 | Chest1998，93，： | 1 |
| 11 | Cholesterol removal in liquid egg yolk using high methoxyl pectins显示文摘 | Rojas E E G dos Reis Coimbra J S Minim L A | 2007 | Carbohydrate Polymers2007，69，1： | 1 |
| 12 | A prospective randomized blinded trial显示文摘 | Ogonda L Wilson R Archbold P Comparison of early postoperative functional levels following total hip replacement using minimally invasive versus standard incisions | 2005 | Clin Rehabil2005，19，5： | 1 |
| 13 | AAGL practice report: practice guidelines for management of intrauterine synechiae显示文摘 | AAGL Advancing Minimally Invasive Gynecology Worldwid | 2010 | J Minim Invasive Gynecol2010，17，1： | 1 |
| 14 | AAGL Practice Report: Morcellation During Uterine Tissue Extraction 显示文摘 | AAGL Advancing Minimally Invasive Gynecology Worldwide | 2014 | J Minim Invasive Gynecol2014，21，4： | 1 |
| 15 | AAGL practice report: Morcellation during uterine tissue extraction显示文摘 | AAGL Advancing Minimally Invasive Gynecology Worldwide | 2014 | J Minim Invasive Gynecol2014，21，4： | 1 |
| 16 | AAGL practice report: practice guidelines far management of in- trauterine synechiae显示文摘 | AAGL Advancing Minimally Invasive Gynaecology Worldwide | 2010 | Journal of Minimally Invasive Gynaecology2010，17，1： | 1 |
| 17 | ature practiee显示文摘 | Blondeau P Carbonnean M Esper P et aLA 2-hour information session and patient recall has minimal impact on glaucoma-treatment persistence in am | 2012 | J Glaucoma2012，21，6： | 1 |
| 18 | A prospective,randomized study显示文摘 | Dutton AQ Yes S J Yang KY Computerass isted minimally inrasive total knee arthroplasty compared with standard total knee arthroplasty | 2008 | J Bone Joint suyg(Am)2008，90，： | 1 |
| 19 | 显示文摘 | Zhou Y Abdi S Diagnosis and minimally invasive treatment of lumbar discogenic pain-a review of the litemture | 2006 | Clin J pain2006，22，5： | 1 |
| 20 | AAGL practice report: practice guidelines for management of intl-auterine synechiae显示文摘 | AAGL Advancing Minimally Invasive Gynecology Worldwide | 2010 | J Minim Invasive Gynecol2010，17，1： | 1 |
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