Value of multi-disciplinary input into laparoscopic management of rectal cancer - An observational study

Rao, Pawan Kumar Dhruva; Peiris, S. P. M.; Arif, S.A.M.; R, Davies; Masoud, AG; Haray, P. N.

doi:10.4240/wjgs.v9.i6.153

Cited by 2 publications

(1 citation statement)

References 18 publications

(26 reference statements)

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“…The mechanism of action is to stimulate the 5-HT receptor and release ACh in the intestinal muscularis plexus, which can significantly improve esophageal, gastric, and duodenal reflux and enhance the large intestine and small intestine peristalsis. It is currently only an effective gastric stimulant for pseudoileus and can be taken for a long time [ 15 ].…”

Section: Application Of Intelligent Medical Monitoring Device In the Nursing Of Rectal Cancer Patients After Laparoscopic Surgerymentioning

confidence: 99%

Nursing of Gastrointestinal Peristalsis Function Recovery after Abdominal Mirror Surgery for Rectal Cancer Patients Based on Intelligent Electronic Medicine

Ding

Zhu

Pang

et al. 2021

Journal of Healthcare Engineering

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In recent years, with the rapid development of colorectal surgery technology and laparoscopic instruments, laparoscopic radical resection of colorectal cancer has been widely used. Although laparoscopic surgery has the characteristics of small trauma, less blood loss, less hospitalization days, and low incidence of adverse reactions such as incision infection, it is still inevitable to have different degrees of gastrointestinal dysfunction after surgery. This paper mainly studies the recovery nursing of gastrointestinal peristalsis after abdominal mirror in rectal cancer patients based on intelligent electronic medicine. In this paper, an intelligent medical monitoring system is designed for the posterior care of rectal cancer patients with abdominal mirror image, which can realize the collection and transmission of wireless sign parameters of postoperative rectal cancer patients and improve the efficiency of postoperative monitoring in medical work. All parameter data are sent to the Lora base station in real time via Lora wireless communication, which is then uploaded to the medical monitoring platform. The experimental results showed that the first postoperative exhaust time of the treatment group using the intelligent medical monitoring system was significantly shortened, and the difference was statistically significant ( P < 0.05 ). The first defecation time was shortened, and the difference was statistically significant ( P < 0.05 ). The recovery time of total fluid diet was shortened, and the difference was statistically significant ( P < 0.05 ). The above results indicate that the intelligent medical monitoring device designed in this paper has positive significance for improving the work efficiency of the hospital, the clinical experience of patients after abdominal mirror surgery for rectal cancer, and the real-time monitoring of signs of patients in intensive care.

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Section: Application Of Intelligent Medical Monitoring Device In the Nursing Of Rectal Cancer Patients After Laparoscopic Surgerymentioning

confidence: 99%

Nursing of Gastrointestinal Peristalsis Function Recovery after Abdominal Mirror Surgery for Rectal Cancer Patients Based on Intelligent Electronic Medicine

Ding

Zhu

Pang

et al. 2021

Journal of Healthcare Engineering

View full text Add to dashboard Cite

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Prognostic importance of circumferential resection margin in the era of evolving surgical and multidisciplinary treatment of rectal cancer: A systematic review and meta-analysis

Detering

Rutgers

Bemelman

et al. 2021

Surgery

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Background: Circumferential resection margin is considered an important prognostic parameter after rectal cancer surgery, but its impact might have changed because of improved surgical quality and tailored multimodality treatment. The aim of this systematic review was to determine the prognostic importance of circumferential resection margin involvement based on the most recent literature. Methods: A systematic literature search of MEDLINE, Embase, and the Cochrane Library was performed for studies published between January 2006 and May 2019. Studies were included if 3-or 5-year oncological outcomes were reported depending on circumferential resection margin status. Outcome parameters were local recurrence, overall survival, disease-free survival, and distant metastasis rate. The Newcastle Ottawa Scale and Jadad score were used for quality assessment of the studies. Meta-analysis was performed using a random effects model and reported as a pooled odds ratio or hazard ratio with 95% confidence interval. Results: Seventy-five studies were included, comprising a total of 85,048 rectal cancer patients. Significant associations between circumferential resection margin involvement and all long-term outcome parameters were uniformly found, with varying odds ratios and hazard ratios depending on circumferential resection margin definition (<1 mm, 1 mm, otherwise), neoadjuvant treatment, study period, and geographical origin of the studies. Conclusion: Circumferential resection margin involvement has remained an independent, poor prognostic factor for local recurrence and survival in most recent literature, indicating that circumferential resection margin status can still be used as a short-term surrogate endpoint.

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Value of multi-disciplinary input into laparoscopic management of rectal cancer - An observational study

Cited by 2 publications

References 18 publications

Nursing of Gastrointestinal Peristalsis Function Recovery after Abdominal Mirror Surgery for Rectal Cancer Patients Based on Intelligent Electronic Medicine

Nursing of Gastrointestinal Peristalsis Function Recovery after Abdominal Mirror Surgery for Rectal Cancer Patients Based on Intelligent Electronic Medicine

Prognostic importance of circumferential resection margin in the era of evolving surgical and multidisciplinary treatment of rectal cancer: A systematic review and meta-analysis

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