The entire postoperative hospitalization was (9.2±3.6) times. Through the postoperative follow-up, no acute gastrointestinal symptoms or severe abdomen recurred. Conclusions Petersen hernia is more typical in male, whose onset and progress are quick and emergent, and prognosis is poor.Objective to research the security and feasibility of transgluteal percutaneous drainage making use of double catheterization cannula within the treatment of deep pelvic abscess. Techniques A retrospective analysis regarding the clinical data of customers whom underwent transgluteal percutaneous drainage utilizing dual catheterization cannula with deep pelvic abscesses admitted to the Jinling Hospital from May 2017 to September 2020 was conducted. Seven patients were enrolled, including 5 males and 2 females, whom aged 26-74 (median 53.0) years of age, and all sorts of of them had digestive fistula. One male patient Medical emergency team ended up being punctured again as a result of tube falling down, and a complete of 7 patients underwent 8 times of transgluteal percutaneous drainage, all underneath the assistance of CT. The puncture and drainage actions regarding the double catheterization cannula team are the following (1) Locate the puncture point under CT in the lateral position; (2) Place the trocar in to the abscess hole; (3) concur that the trocar is situated in the abscess cavity under CT; (4) g/L, 122.2 (55.8, 226.0) μg/L, 59.2 (29.0,203.5) μg/L and 64.1 (30.0,88.4) μg/L, correspondingly.The level of serum interleukin-6 at 3 times and 5 times after drainage ended up being significantly lower than before drainage (F=3.586, P=0.026). Although the white blood mobile count, C-reactive protein, and procalcitonin decreased gradually after drainage compared with before drainage, the real difference was not statistically considerable (all P>0.05). Conclusion Transgluteal percutaneous drainage with two fold catheterization cannula is straightforward and effective, and certainly will be properly used when it comes to remedy for deep pelvic abscess.Objective Presacral recurrence of rectal cancer have changed the adjacent frameworks of initial pelvic body organs as a result of past radical surgery of rectal cancer, as well as the boundary between recurrent cyst areas and pelvic internal frameworks isn’t obvious arsenic biogeochemical cycle . Old-fashioned CT assessment has poor soft muscle resolution, which makes it tough to precisely delineate the goal section of radiotherapy. This study aimed to explore the directing part of magnetized resonance imaging (MRI) in delineating the goal part of presacral recurrence after radical resection of rectal cancer. Practices A descriptive situation series research method had been adopted. From May 2014 to might 2019, the medical information of 30 clients with presacral recurrence after radical resection of rectal cancer tumors were gathered, who had been admitted to Peking University People’s Hospital, confirmed by pathology or talked about by multidisciplinary staff (MDT), with full MRI, CT and case information. According to the gross tumefaction volume (GTV) with presacral recurrenceate implementation of radiotherapy.Objective The operative approach and actions of laparoscopic right hemicolon cancer radical resection have now been standardlized and professional consensus has been achieved. Nevertheless, some detailed issues for instance the managing of Henle’s trunk area and whether to preserve just the right gastroepiploic vein (RGEV) nonetheless continue to be questionable. This research investigates the safety, feasibility, short- and long-term effects of protecting RGEV during laparoscopic correct hemicolectomy. Methods A retrospective cohort study had been performed. Clinical data of 92 patients undergoing laparoscopic right hemicolectomy in Taizhou People’s Hospital from March 2016 to May 2018 had been retrospectively reviewed. All of the customers were treated with full mesocolon resection (CME) along with full postoperative pathological information and follow-up data. On the basis of the tumor area click here , 49 patients preserved RGEV (conservation group) and 43 failed to (non-preservation group). Pathological data, postoperative complications, short- and long-lasting effects were comp survival time of the preservation team and non-preservation group was (35.4±1.8) months and (37.6±1.7) months, respectively without significant difference (P=0.336); the disease-free survival was (32.0±2.2) months and (35.5±2.0) months, correspondingly without significant huge difference too (P=0.201). Conclusions Dissection of this Henle’s vehicle and preservation of RGEV is safe and feasible during laparoscopic right hemicolectomy, which can somewhat lower the incidence of postoperative gastroparesis, shorten the recovery time of postoperative intestinal purpose and hospitalization, and decrease the cost of hospitalization. The effectiveness of RGEV preservation is similar to non-preservation of RGEV.Objective To explore the predictive factors of pathological full response (pCR) after neoadjuvant chemoradiotherapy for middle-low rectal cancer tumors. Methods A case-control study was conducted. The addition requirements were the following (1) colonoscopy, electronic examination or magnetized resonance imaging (MRI) revealed a distance through the reduced edge of the tumefaction into the dentate range of a maximum of 10 cm; (2) complete clinicopathological data had been offered; (3) preoperative biopsy revealed adenocarcinoma; (4) preoperative pelvic MRI or endorectal ultrasonography ended up being done; (5) no distant metastasis had been discovered. Exclusion requirements (1) preoperative radiotherapy and chemotherapy weren’t administrated in accordance with the standard; (2) simultaneous several main cancer and familial adenomatous polyposis were seen. Based on the above criteria, clinicopathological data of 245 clients with middle-low rectal cancer undergoing preoperative neoadjuvant chemoradiotherapy in Changhai Hospital of Navy health Universit CI 0.147-0.625, P=0.001) were independent predictive aspects of pCR, while CA 19-9 amount wasn’t a completely independent factor (OR=1.873, 95% CI0.372-9.436, P=0.447). Conclusion By understanding the clinical attributes of preoperative T stage, cyst circumference, tumor morphology additionally the interval between neoadjuvant chemoradiotherapy and procedure, patients with greater likelyhood of pCR after neoadjuvant chemoradiotherapy is identified.The mixture of synthetic intelligence (AI) technology and medicine is an important milestone into the growth of modern-day medication, which realizes the digitalization and cleverness for physicians along the way of diagnosis and therapy.
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