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Altemeier perineal rectosigmoidectomy with indocyanine green fluorescence imaging for a female adolescent with complete rectal prolapse:A case report

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World Journal of Clinical Cases 2021年第4期9卷 847-853页

作者： Tetsu Yamamoto Ryoji Hyakudomi Kiyoe Takai Takahito Taniura Yuki Uchida Kazunari Ishitobi NoriyukiHirahara Yoshitsugu Tajima Department of Digestive and General Surgery Shimane University Faculty of MedicineIzumo 693-8501ShimaneJapan

BACKGROUND Rectal prolapse in young women is *** laparoscopic ventral mesh rectopexy is the standard procedure because of its lower recurrence rate,postoperative infertility is a *** rectosigmoidectomy(Altemeier procedure)is useful for these ***,the risk of anastomotic leakage should be ***,the usefulness of fluorescence imaging with indocyanine green(ICG)to prevent anastomotic leakage was *** report a case of an adolescent woman with complete rectal prolapse who underwent ICG fluorescence imaging-assisted Altemeier *** SUMMARY A 17-year-old woman who had a mental disorder was admitted to our hospital for treatment for water *** patient also suffered from rectal prolapse,approximately 3 mo before *** was referred to our surgical department because recurrent rectal prolapse could worsen her psychiatric *** 10 cm of complete rectal prolapse was ***,the mean maximum anal resting and constriction pressures were within normal limits on anorectal *** she had the desire to bear children in the future,she underwent Altemeier perineal rectosigmoidectomy to prevent surgery-related *** performed ICG fluorescence imaging at the same time as surgery to reduce the risk of anastomotic *** postoperative course was uneventful,and the rectal prolapse was completely *** continued to do well 18 mo after surgery,without recurrence of the rectal *** ICG fluorescence imaging-assisted Altemeier perineal rectosigmoidectomy is useful in preventing postoperative anastomotic leakage in young as well as elderly patients.

关键词： indocyanine green fluorescence imaging Rectal prolapse Altemeier operation Young women Mental disorder Perineal rectosigmoidectomy Case report

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Minimally invasive surgery for gastro-oesophageal junction adenocarcinoma: Current evidence and future perspectives

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World Journal of Gastrointestinal Oncology 2023年第10期15卷 1675-1690页

作者： Rodica Birla Petre Hoara Florin Achim Valeriu Dinca Diana Ciuc Silviu Constantinoiu Adrian Constantin Department of General Surgery Carol Davila UniversityBucharest 011172Romania Department of General Surgery Carol Davila University of Medicine and PharmacyBucharest 020021Romania Faculty of Medicine “Titu Maiorescu”UniversityBucharest 031593Romania

Minimally invasive surgery is increasingly indicated in the management of malignant *** oesophagectomy is a difficult operation,with a long learning curve,there is actually a shift towards the laparoscopic/thoracoscopic/robotic approach,due to the advantages of visualization,surgeon comfort(robotic surgery)and the possibility of the whole team to see the operation as well as and the operating *** currently there are still many controversial topics,about the surgical treatment of patients with gastro-oesophageal junction(GOJ)adenocarcinoma,such as the type of open or minimally invasive surgical approach,the type of oesophago-gastric resection,the type of lymph node dissection and others,the minimally invasive approach has proven to be a way to reduce postoperative complications of resection,especially by decreasing pulmonary *** implementation of new technologies allowed the widening of the range of indications for this type of surgical *** short-term and long-term results,as well as the benefits for the patient-reduced surgical trauma,quick and easy recovery-offer this type of surgical treatment the premises for future *** article reviews the updates and perspectives on the minimally invasive approach for GOJ adenocarcinoma.

关键词： Gastro-oesophageal adenocarcinoma Minimally invasive oesophagectomy Laparoscopic gastrectomy Abdomino-mediastinal lymph node dissection indocyanine green fluorescence imaging

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