检索结果-南通市图书馆

Minimally invasive approaches for the treatment of inflammatory bowel disease

World Journal of Gastroenterology 2012年第46期18卷 6756-6763页

作者： marco zoccali Alessandro Fichera Department of Surgery University of Chicago Pritzker School of Medicine Department of Surgery University of Washington Medical Center

Despite significant improvements in medical management of inflammatory bowel disease, many of these patients still require surgery at some point in the course of their disease. Their young age and poor general conditions, worsened by the aggressive medical treatments, make minimally invasive approaches particularly enticing to this patient population. However, the typical inflammatory changes that characterize these diseases have hindered wide diffusion of laparoscopy in this setting, currently mostly pursued in high-volume referral centers, despite accumulating evidences in the literature supporting the benefits of minimally invasive surgery. The largest body of evidence currently available for terminal ileal Crohn's disease shows improved short term outcomes after laparoscopic surgery, with prolonged operative times. For Crohn's colitis, high quality evidence supporting laparoscopic surgery is *** preliminary results have been obtained with the adoption of laparoscopic restorative total proctocolectomy for the treatment of ulcerative colitis. A consensus about patients' selection and the need for staging has not been reached yet. Despite the lack of conclusive evidence, a wave of enthusiasm is pushing towards less invasive strategies, to further minimize surgical trauma, with single incision laparoscopic surgery being the most realistic future development.

关键词： Laparoscopic surgery Inflammatory bowel disease Ulcerative colitis Crohn's disease

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

R0 resection in the treatment of gastric cancer:Room for improvement

引用

World Journal of Gastroenterology 2010年第27期16卷 3358-3370页

作者： Alberto Biondi Roberto Persiani Ferdinando Cananzi marco zoccali Vincenzo Vigorita Andrea Tufo Domenico D'Ugo Emergency and General Surgery Unit Fondazione IRCCS 'Ca Grande' Policlinico Maggiore First General Surgery Unit Department of Surgery Catholic University Rome LargoA. Gemelli 800168RomeItaly

Gastric carcinoma is one of the most frequent malignancies in the world and its clinical behavior especially depends on the metastatic potential of the *** particular,lymphatic metastasis is one of the main predictors of tumor recurrence and survival,and current pathological staging systems reflect the concept that lymphatic spread is the most relevant prognostic factor in patients undergoing curative *** is compounded by the observation that two-thirds of gastric cancer in the Western world presents at an advanced stage,with lymph node metastasis at *** current therapeutic efforts in gastric cancer are directed toward individualization of therapeutic protocols,tailoring the extent of resection and the administration of preoperative and postoperative *** goals of all these strategies are to improve prognosis towards the achievement of a curative resection(R0 resection) with minimal morbidity and mortality,and better postoperative quality of life.

关键词： Gastric cancer R0 resection Total gastrectomy Lymph node dissection Adjuvant therapy Preoperative therapy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Surgical treatment of ulcerative colitis in the biologic therapy era

引用

World Journal of Gastroenterology 2012年第16期18卷 1861-1870页

作者： Alberto Biondi marco zoccali Stefano Costa Albert Troci Ettore Contessini-Avesani Alessandro Fichera Emergency and General Surgery Unit Fondazione IRCCS "Ca' Granda" Policlinico Maggiore20122 MilanItaly Department of Surgery University of Chicago Medical CenterChicagoIL 60637United States First General Surgery Unit Department of SurgeryCatholic University00168 RomeItaly

Recently introduced in the treatment algorithms and guidelines for the treatment of ulcerative colitis,biological therapy is an effective treatment option for patients with an acute severe flare not responsive to conventional treatments and for patients with steroid dependent *** reduction in hospitalization and surgical intervention for patients affected by ulcerative colitis after the introduction of biologic treatment remains to be ***,these agents seem to be associated with increase in cost of treatment and risk for serious postoperative *** proctocolectomy with ileal pouch-anal anastomosis is the surgical treatment of choice in ulcerative colitis *** is traditionally recommended as salvage therapy when medical management fails,and,despite advances in medical therapy,colectomy rates remain unchanged between 20% and 30%.To overcome the reported increase in postoperative complications in patients on biologic therapies,several surgical strategies have been developed to maintain long-term pouch failure rate around 10%,as previously *** staging along with the development of minimally invasive surgery are among the most promising advances in this field.

关键词： Ulcerative colitis Inflammatory bowel disease Infliximab Surgery Laparoscopy Single incision laparoscopy Total abdominal colectomy Ileal pouch anal anastomosis Restorative proctocolectomy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：