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1Hybrid natural orifice transluminal endoscopic surgery in gastric subepithelial tumors显示文摘Diagnosis of gastric subepithelial tumor(SET) has shown a rapid increase worldwide.Although,until now,endoscopic ultrasound guided procedures such as fine needle aspiration have shown relatively high accuracy in diagnosis of SET,the most important modality for diagnosis and treatment of SETs is complete resection such as endoscopic or surgical resection.However,endoscopic resection or laparoscopic wedge resection alone also has some limitations.Endoscopic resection is difficult to perform in cases of gastric SET located within deep portion of the gastric layer or a relatively large(larger than 25 mm diameter).On the other hand,gastric SET in a difficult location,such as the gastroesophageal junction or pyloric ring is challenging for laparoscopic surgical resection.The hybrid natural orifice transluminal endoscopic surgery(NOTES) technique is a combined method,including the advantages of both laparoscopic resection and endoscopic resection for gastric SETs.This method may be performed safely with reasonable operation times,less bleeding,and adequate resection margin and regardless of tumor size.In particular,in the case of a difficult location for resection,such as the esophagogastric junction or pyloric ring,hybrid NOTES is currently believed to be an ideal treatment method.Jun Heo Seong Woo Jeon 2013World Journal of Gastrointestinal Endoscopy2013,5,9:2
2单孔腹腔镜手术在泌尿外科领域的现状与前景显示文摘传统的外科手术一直是以开放手术占据绝对的主导地位。随着医学技术的迅猛发展,近几十年腹腔镜手术异军突起,以其切口微小美观、组织损伤小、出血少、恢复快、术野放大、操作精细等显而易见的优势被广泛接受并迅速推广。尤其泌尿外科在腹腔镜技术的应用上更是处于领先地位,无论是肿瘤手术还是重建手术基本都可以通过腹腔镜手术来完成。发展不会停歇。王彭 金讯波 2013泌尿外科杂志(电子版)2013,5,4:0
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