Sci Rep:经历机器协助的腹腔镜根治性前列腺切除术患者的快速康复外科和传统外科的比较

2018-06-05 AlexYang MedSci原创

快速康复外科(FTS)包括了一系基于证据的调整,并且预期可以减少并发症,减轻外科手术应激反应,加速恢复和缩短住院时间,并且还可以提高安全性。最近,有研究人员在经历机器协助的腹腔镜根治性前列腺切除术(RALP)的中国前列腺癌(PCa)患者中严格的评估了FTS的安全性和效果。研究是一个回顾性的分析,包括了73名连续性的中国PCa患者,且他们经历了RALP。研究人员将其分成2个小组:传统外科(CS)和F

快速康复外科(FTS)包括了一系基于证据的调整,并且预期可以减少并发症,减轻外科手术应激反应,加速恢复和缩短住院时间,并且还可以提高安全性。最近,有研究人员在经历机器协助的腹腔镜根治性前列腺切除术(RALP)的中国前列腺癌(PCa)患者中严格的评估了FTS的安全性和效果。

研究是一个回顾性的分析,包括了73名连续性的中国PCa患者,且他们经历了RALP。研究人员将其分成2个小组:传统外科(CS)和FTS。研究人员比较了2个小组的术前临床数据、手术中的特征和术后治疗结果以及并发生发生率。研究人员在术前参数中并没有发现显著的差异。与CS组比较,FTS组表现出了更短的肠胃气出现的时间、普通饮食的时间和术后住院的时间,更低的并发症发生率、更低的术后应激和疼痛反应。

最后,研究人员指出,他们的研究阐释了FTS对经历了RALP中国患者是可行的和安全的,并且还加速了恢复,减弱了外科手术应激响应,并且与CS比较,减少了并发症。

原始出处:


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  5. [GetPortalCommentsPageByObjectIdResponse(id=1659801, encodeId=c9001659801e3, content=<a href='/topic/show?id=2d4052049c5' target=_blank style='color:#2F92EE;'>#快速康复#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52049, encryptionId=2d4052049c5, topicName=快速康复)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ecec25038736, createdName=fengting11, createdTime=Mon Aug 27 11:33:00 CST 2018, time=2018-08-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1877033, encodeId=2ab018e7033b7, content=<a href='/topic/show?id=67c5319121e' target=_blank style='color:#2F92EE;'>#切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31912, encryptionId=67c5319121e, topicName=切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9d8a96, createdName=doctorzheng, createdTime=Fri Mar 29 17:33:00 CST 2019, time=2019-03-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1708835, encodeId=15891e08835fd, content=<a href='/topic/show?id=ffca32501e6' target=_blank style='color:#2F92EE;'>#前列腺切除#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32501, encryptionId=ffca32501e6, topicName=前列腺切除)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cbe731571573, createdName=1249898am25暂无昵称, createdTime=Wed Nov 28 07:33:00 CST 2018, time=2018-11-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1276419, encodeId=d63f12e641958, content=<a href='/topic/show?id=768685612db' target=_blank style='color:#2F92EE;'>#腹腔镜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85612, encryptionId=768685612db, topicName=腹腔镜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=xinxin088, createdTime=Thu Jun 07 10:33:00 CST 2018, time=2018-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1583133, encodeId=51d11583133f9, content=<a href='/topic/show?id=f6e1611840d' target=_blank style='color:#2F92EE;'>#机器#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61184, encryptionId=f6e1611840d, topicName=机器)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=13dc16973127, createdName=ms6279672939590805, createdTime=Thu Jun 07 10:33:00 CST 2018, time=2018-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1586110, encodeId=83af1586110b0, content=<a href='/topic/show?id=38f8622191b' target=_blank style='color:#2F92EE;'>#根治#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62219, encryptionId=38f8622191b, topicName=根治)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=26d917348678, createdName=jeanqiuqiu, createdTime=Thu Jun 07 10:33:00 CST 2018, time=2018-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=322195, encodeId=dafd322195d6, content=翻译不是很准确.应该是机器人辅助腹腔镜手术, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/06/05/ed2bf06fea1e697cb8fe1644bfcec307.jpg, createdBy=73971617491, createdName=小小医森, createdTime=Thu Jun 07 07:38:46 CST 2018, time=2018-06-07, status=1, ipAttribution=)]
  6. [GetPortalCommentsPageByObjectIdResponse(id=1659801, encodeId=c9001659801e3, content=<a href='/topic/show?id=2d4052049c5' target=_blank style='color:#2F92EE;'>#快速康复#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52049, encryptionId=2d4052049c5, topicName=快速康复)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ecec25038736, createdName=fengting11, createdTime=Mon Aug 27 11:33:00 CST 2018, time=2018-08-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1877033, encodeId=2ab018e7033b7, content=<a href='/topic/show?id=67c5319121e' target=_blank style='color:#2F92EE;'>#切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31912, encryptionId=67c5319121e, topicName=切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9d8a96, createdName=doctorzheng, createdTime=Fri Mar 29 17:33:00 CST 2019, time=2019-03-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1708835, encodeId=15891e08835fd, content=<a href='/topic/show?id=ffca32501e6' target=_blank style='color:#2F92EE;'>#前列腺切除#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32501, encryptionId=ffca32501e6, topicName=前列腺切除)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cbe731571573, createdName=1249898am25暂无昵称, createdTime=Wed Nov 28 07:33:00 CST 2018, time=2018-11-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1276419, encodeId=d63f12e641958, content=<a href='/topic/show?id=768685612db' target=_blank style='color:#2F92EE;'>#腹腔镜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85612, encryptionId=768685612db, topicName=腹腔镜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=xinxin088, createdTime=Thu Jun 07 10:33:00 CST 2018, time=2018-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1583133, encodeId=51d11583133f9, content=<a href='/topic/show?id=f6e1611840d' target=_blank style='color:#2F92EE;'>#机器#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61184, encryptionId=f6e1611840d, topicName=机器)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=13dc16973127, createdName=ms6279672939590805, createdTime=Thu Jun 07 10:33:00 CST 2018, time=2018-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1586110, encodeId=83af1586110b0, content=<a href='/topic/show?id=38f8622191b' target=_blank style='color:#2F92EE;'>#根治#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62219, encryptionId=38f8622191b, topicName=根治)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=26d917348678, createdName=jeanqiuqiu, createdTime=Thu Jun 07 10:33:00 CST 2018, time=2018-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=322195, encodeId=dafd322195d6, content=翻译不是很准确.应该是机器人辅助腹腔镜手术, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/06/05/ed2bf06fea1e697cb8fe1644bfcec307.jpg, createdBy=73971617491, createdName=小小医森, createdTime=Thu Jun 07 07:38:46 CST 2018, time=2018-06-07, status=1, ipAttribution=)]
    2018-06-07 jeanqiuqiu
  7. [GetPortalCommentsPageByObjectIdResponse(id=1659801, encodeId=c9001659801e3, content=<a href='/topic/show?id=2d4052049c5' target=_blank style='color:#2F92EE;'>#快速康复#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52049, encryptionId=2d4052049c5, topicName=快速康复)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ecec25038736, createdName=fengting11, createdTime=Mon Aug 27 11:33:00 CST 2018, time=2018-08-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1877033, encodeId=2ab018e7033b7, content=<a href='/topic/show?id=67c5319121e' target=_blank style='color:#2F92EE;'>#切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31912, encryptionId=67c5319121e, topicName=切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9d8a96, createdName=doctorzheng, createdTime=Fri Mar 29 17:33:00 CST 2019, time=2019-03-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1708835, encodeId=15891e08835fd, content=<a href='/topic/show?id=ffca32501e6' target=_blank style='color:#2F92EE;'>#前列腺切除#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32501, encryptionId=ffca32501e6, topicName=前列腺切除)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cbe731571573, createdName=1249898am25暂无昵称, createdTime=Wed Nov 28 07:33:00 CST 2018, time=2018-11-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1276419, encodeId=d63f12e641958, content=<a href='/topic/show?id=768685612db' target=_blank style='color:#2F92EE;'>#腹腔镜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85612, encryptionId=768685612db, topicName=腹腔镜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=xinxin088, createdTime=Thu Jun 07 10:33:00 CST 2018, time=2018-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1583133, encodeId=51d11583133f9, content=<a href='/topic/show?id=f6e1611840d' target=_blank style='color:#2F92EE;'>#机器#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61184, encryptionId=f6e1611840d, topicName=机器)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=13dc16973127, createdName=ms6279672939590805, createdTime=Thu Jun 07 10:33:00 CST 2018, time=2018-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1586110, encodeId=83af1586110b0, content=<a href='/topic/show?id=38f8622191b' target=_blank style='color:#2F92EE;'>#根治#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62219, encryptionId=38f8622191b, topicName=根治)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=26d917348678, createdName=jeanqiuqiu, createdTime=Thu Jun 07 10:33:00 CST 2018, time=2018-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=322195, encodeId=dafd322195d6, content=翻译不是很准确.应该是机器人辅助腹腔镜手术, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/06/05/ed2bf06fea1e697cb8fe1644bfcec307.jpg, createdBy=73971617491, createdName=小小医森, createdTime=Thu Jun 07 07:38:46 CST 2018, time=2018-06-07, status=1, ipAttribution=)]
    2018-06-07 小小医森

    翻译不是很准确.应该是机器人辅助腹腔镜手术

    0

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前列腺癌是指发生在前列腺的上皮性恶性肿瘤。2004年WHO《泌尿系统及男性生殖器官肿瘤病理学和遗传学》中前列腺癌病理类型上包括腺癌(腺泡腺癌)、导管腺癌、尿路上皮癌、鳞状细胞癌、腺鳞癌。其中前列腺腺癌占95%以上,因此,通常我们所说的前列腺癌就是指前列腺腺癌。梅斯医学小编整理了近期前列腺癌的研究进展,与大家一起分享学习!【1】Prostate Cancer P D: 免疫检查点阻断结合冷冻

Sci Rep:开始诊断的黑色素瘤能够增加随后患前列腺癌风险

越来越多的证据表明,皮肤黑色素瘤的诊断(CM)也许与前列腺癌的发生率(PC)相关。最近,有研究人员调查了是否CM的发生率与随后PC风险的增加相关。研究人员利用来自新南威尔士癌症数据库中的所有CM和PC案例数据进行了分析,这些案例都在1972年和2008年之间诊断。研究人员针对PC发生率计算了年龄标准化发生率(SIR)和95%置信区间(95% CI)。另外,研究人员还根据指定的社会人口统计学分类和疾

Prostate Cancer P D:在PTEN缺失前列腺癌转基因小鼠模型中,血清胆固醇水平和肿瘤生长研究

一些但不是全部的流行病学证据支持了胆固醇在前列腺癌中为类固醇激素合成的前体。最近,有研究人员利用一个PTEN缺失前列腺癌转基因小鼠模型,测试了改变过的血清胆固醇水平对前列腺肿瘤发育和生长的影响情况。研究人员假设血清胆固醇的减少会降低肿瘤雄激素水平和减缓前列腺癌生长。研究人员发现,依泽替米贝处理的小鼠在第4个月具有更低的血清胆固醇水平(p=0.031)。血清胆固醇与前列腺重量(p=0.033)和肿瘤

CLIN CANCER RES:分子淋巴结状态有助于对前列腺癌患者进行预后分层

使用qPCR对淋巴结进行分子分析检测淋巴结转移的敏感度高于病理学检查。但是,接受根治性前列腺切除联合扩大盆腔淋巴结清扫的前列腺癌患者分子淋巴结状态的预后效果并不明确。CLIN CANCER RES近期发表了一篇文章,研究分子淋巴结状态与生化复发之间的关系。