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| 1 | Laparoscopic approach in gastrointestinal emergencies显示文摘This review focuses on the laparoscopic approach to gastrointestinal emergencies and its more recent indications. Laparoscopic surgery has a specific place in elective procedures, but that does not apply in emergency situations. In specific emergencies, there is a huge range of indications and different techniques to apply, and not all of them are equally settle. We consider that the most controversial points in minimally invasive procedures are indications in emergency situations due to technical difficulties. Some pathologies, such as oesophageal emergencies, obstruction due to colon cancer, abdominal hernias or incarcerated postsurgical hernias, are nearly always resolved by conventional surgery, that is, an open approach due to limited intraabdominal cavity space or due to the vulnerability of the bowel. These technical problems have been solved in many diseases, such as for perforated peptic ulcer or acute appendectomy for which a laparoscopic approach has become a wellknown and globally supported procedure. On the other hand, endoscopic procedures have acquired further indications, relegating surgical solutions to a second place; this happens in cholangitis or pancreatic abscess drainage. This endoluminal approach avoids the need for laparoscopic development in these diseases. Nevertheless, new instruments and new technologies could extend the laparoscopic approach to a broader array of potentials procedures. There remains, however, a long way to go. | Rosa M Jimenez Rodriguez Juan José Segura-Sampedro Mercedes Flores-Cortés Francisco López-Bernal Cristobalina Martín Verónica Pino Diaz Felipe Pareja Ciuro Javier Padillo Ruiz | 2016 | World Journal of Gastroenterology2016，22，9： | 5 |
| 2 | 单纯胃修补术治疗胃穿孔患者48例临床效果观察显示文摘目的:对单纯胃修补术治疗胃穿孔的临床效果进行探析。方法:取研究对象96例,均为我院2014年1月份到2015年1月份接收的符合诊断标准的胃穿孔患者。随机分成对照组和实验组,各48例。对照组实施胃大部分切除术,实验组实施单纯胃修补术。对两组患者的治疗情况进行对比和分析。结果:实验组的总有效率为93.8%,明显比对照组的77.1%要高,差别明显,P<0.05,具备统计上的意义;两组患者的手术时间、住院时间以及并发症发生率经对比差别显著,P<0.05,具备统计学意义。结论:应用单纯胃修补术对胃穿孔患者进行治疗,安全性高,且治疗效果理想,值得推荐。 | 郝玉峰 | 2015 | 世界最新医学信息文摘2015，0，73： | 2 |
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