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结肠血管    
相关语句
  colic vessels
    Surgical anatomy of the colic vessels in Chinese and its influence on the operation of esophageal replacement with colon
    结肠代食管术中结肠血管结构的研究
短句来源
    Objective To investigate the configuration of colic vessels in Chinese and its influence on the operation of esophageal replacement with colon (ERC).
    目的研究结肠血管构型和变异及其对替代食管的结肠段血供的影响。
短句来源
    Conclusion The configuration of colic vessels in Chinese was basically similar to those of the results of autopsies carried out abroad.
    结论国人的结肠血管构型与国外尸解结果雷同,而在结肠边缘血管缺如比率、血管分支数和分布有所差异。
短句来源
  colic vessels
    Surgical anatomy of the colic vessels in Chinese and its influence on the operation of esophageal replacement with colon
    结肠代食管术中结肠血管结构的研究
短句来源
    Objective To investigate the configuration of colic vessels in Chinese and its influence on the operation of esophageal replacement with colon (ERC).
    目的研究结肠血管构型和变异及其对替代食管的结肠段血供的影响。
短句来源
    Conclusion The configuration of colic vessels in Chinese was basically similar to those of the results of autopsies carried out abroad.
    结论国人的结肠血管构型与国外尸解结果雷同,而在结肠边缘血管缺如比率、血管分支数和分布有所差异。
短句来源
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  colic vessels
The operative technique includes ligature of the colon proximal and distal to the tumor and preliminary ligature of the ileocolic and right colic vessels.
      
After elevation of the transverse colon, the lesser sac is opened through the root of the transverse colon between the middle and left colic vessels.
      
Laparoscopic extended right hemicolectomy for cancer management is an uncommon operation because it is difficult to divide the middle colic vessels laparoscopically in an oncologic resection.
      
The key characteristic of our procedure is that all right and middle colic vessels are cut along the surgical trunk using only a medial approach.
      
For an extended right hemicolectomy, the middle colic vessels can easily be identified below the lower edge of the pancreas and cut at their roots [2].
      
更多          
  colic vessels
The operative technique includes ligature of the colon proximal and distal to the tumor and preliminary ligature of the ileocolic and right colic vessels.
      
After elevation of the transverse colon, the lesser sac is opened through the root of the transverse colon between the middle and left colic vessels.
      
Laparoscopic extended right hemicolectomy for cancer management is an uncommon operation because it is difficult to divide the middle colic vessels laparoscopically in an oncologic resection.
      
The key characteristic of our procedure is that all right and middle colic vessels are cut along the surgical trunk using only a medial approach.
      
For an extended right hemicolectomy, the middle colic vessels can easily be identified below the lower edge of the pancreas and cut at their roots [2].
      
更多          


The clinical experience on colon replacement of the esophagus in 252 cases were reported. The over all operative morbidity was 17.46%. The incidence of the anastomotic leak was 10.31%. The operative mortality was 1.98%. The main points of surgical technique were: (1) based on the anatomy of the colon vessels, utilizing the left colic artery as the supporting vessel if possible; (2) using the colon segment in an isoperistaltic position, which proved physiologically better; (3) single-layer anastomosis which was...

The clinical experience on colon replacement of the esophagus in 252 cases were reported. The over all operative morbidity was 17.46%. The incidence of the anastomotic leak was 10.31%. The operative mortality was 1.98%. The main points of surgical technique were: (1) based on the anatomy of the colon vessels, utilizing the left colic artery as the supporting vessel if possible; (2) using the colon segment in an isoperistaltic position, which proved physiologically better; (3) single-layer anastomosis which was simple and reliable, with minimal inflammation and swift healing; and (4) choosing the channel for the colon transplant according to the disease, the age, and the cardiopulmonary function of the patients.

报告252例结肠代食管术的临床经验。总并发症率17.46%,吻合口瘘发生率10.31%。死亡率1.98%。提高存活率、降低并发症率和死亡率的关键在于:根据结肠血管解剖特征,首选结肠左动脉作结肠段供血管;将结肠段作顺蠕动向移植较符合生理要求;食管和结肠一层吻合安全可靠,炎性反应轻,愈合快;根据病种、病人心肺功能和年龄,选择结肠段的移植径路。

The clinical experience on transverse colon replacement of the esophagus in 260 cases were reported. The over all operative morbidity was 14. 2% .The operative mortality was 2.3% . We were based on the anatomy of the Colon vessels,advocated the use of the ascending branch of the left colic artery for blood supply and the transverse colon for replacement of the esophagus in an isoperistaltic fashion to be the Procedure of choice. The authors consider that the transverse colon is an ideal substitute for the replacement...

The clinical experience on transverse colon replacement of the esophagus in 260 cases were reported. The over all operative morbidity was 14. 2% .The operative mortality was 2.3% . We were based on the anatomy of the Colon vessels,advocated the use of the ascending branch of the left colic artery for blood supply and the transverse colon for replacement of the esophagus in an isoperistaltic fashion to be the Procedure of choice. The authors consider that the transverse colon is an ideal substitute for the replacement of the whole esophagus because it is long enough and has good blood supply with low basal metabdic rate and easier to be dissected out. One of its advantages is that the stomach is kept in its normal position. The surgical techniques and operative complications were discussed.

报告260例胸骨后横结肠代食管术的临床经验,总并发症率14.2%,死亡率2.3%。根据结肠血管解剖特征,常规选用横结肠作移植肠段,首选左结肠动脉升支供血,行顺蠕动吻合,移植肠段置于胸骨后进行食管重建利于术后放疗。我们认为横结肠长度足够、血运良好、基础代谢率低、体积较小、易游离,足以代替食管全长,且使胃能保持正常生理位置,是食管理想的替代物。文中也对手术操作体会及并发症的预防进行了探讨。

Objective To evaluate the diagnosis and treat ment of lower gastrointe stinal tract bleeding caused by colon vascular ectasias. Methods The diagnosis and treatment of 9 patients with lower gastrointestinal tract bleeding caused b y colon vascular ectasias were analyzed. Results Five patients w ith colon angiect atic lesion were diagnosed by fibercolonoscopy and four patients with colon vasc ular ectasias by mesentery angiography. Five patients were conservatively tr eated. Surgery was performed in 4 patients:...

Objective To evaluate the diagnosis and treat ment of lower gastrointe stinal tract bleeding caused by colon vascular ectasias. Methods The diagnosis and treatment of 9 patients with lower gastrointestinal tract bleeding caused b y colon vascular ectasias were analyzed. Results Five patients w ith colon angiect atic lesion were diagnosed by fibercolonoscopy and four patients with colon vasc ular ectasias by mesentery angiography. Five patients were conservatively tr eated. Surgery was performed in 4 patients: right hemicolec tomy in 3 cases and sigmoidectomy in 1 case. Conclusion Clinicia ns should enhance full understanding for this disease. Colon vascular ectasias is one of the cause s of lower gastrointestinal tract bleeding.All suspected segments deteted by abo ve techniques should be resected to avoid rebleeding.

目的 探讨结肠血管扩张症致下消化道出血的诊断和治疗。方法 对 9例结肠血管扩张症所致下消化道出血的诊断和治疗情况进行分析。结果  5例纤维结肠镜检查发现结肠血管扩张性病变 ;4例肠系膜血管造影发现结肠血管扩张症 ;5例非手术治疗 ,4例行手术治疗 ;其中右半结肠切除术 3例 ,乙状结肠切除术 1例。结论 提高对本病的认识 ,结肠血管扩张症是下消化道出血的原因之一。手术切除范围应包括内镜、血管造影及手术探查发现病变范围的相加 ,以防再出血

 
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