Dissertation > Excellent graduate degree dissertation topics show

Clinical Application of Gasless Hand-assisted Laparoscopic Techniques in Colon-rectum Cancers and It’s Affection on Immune Function of Human

Author: RuanJingDe
Tutor: ZhangYangDe
School: Central South University
Course: Surgery
Keywords: gasless hand-assisted laparoscopic surgery Abdominal Wall Lifting Cholecystectomy colorectal resection clinical application immune function acute-phase reaction
CLC: R735.3
Type: PhD thesis
Year: 2006
Downloads: 195
Quote: 0
Read: Download Dissertation

Abstract


Objective: To investigate gasless hand-assisted laparoscopic surgery on the colorectal malignancy and its effection on immune function of human.Materials and Methods: Campare gasless hand-assisted laparoscopic surgery, carbon dioxide pneumoperitoneum laparoscopic surgery and operation on Cholecystectomy, colorectal resections, according to the study of operation time, expense in hospital, number of days, pathologic type, extension of radical cure, and analysis of the blood lymphocytes, immune function of erythrocyte, we could ascertain the application value of gasless hand-assisted laparoscopic surgery.Results: Gasless hand-assisted laparoscopic surgery had no obvious difference with laparoscopic Cholecystectomy on subjective sensation, hemodynamic changes, breathing function, cardiac muscle enzymologic changes.In the process of colorectal cancer resections, gasless hand-assisted laparoscopic surgery had obvious difference with carbon dioxide pneumoperitoneum laparoscopic surgery and operation on operation time, expense in hospital, number of days, pathologic type, extension of radical cure, and analysis of the blood lymphocytes, immune function of erythrocyte because gasless assisted laparoscopic surgery had litter disturb, litter wound, in litter pain, fast function recover, litter complications and hospital stay days.Penetrate into the affections of human immune functions by above three kinds of cure pattern, gasless hand-assisted laparoscopic surgery had obvious difference with the others on blood lymphocytes, immune function of erythrocytes RC3bRR, RICR, RFER, RFIR, IL-6、C-reactive protein(CRP) and so on.Conclusions: The self-made Abdominal Wall Lifting laparoscopic surgery had no obvious difference with carbon dioxide pneumoperitoneum laparoscopic surgery on the fact of operation effection, post-operation hospital stay time.Gastess hand-assisted laparoscopic surgery could avoid of hypercapnia and respiratory acidosis. Abdominal Wall Lifting installation Play an important role on laparoscopic surgery with heart and lung disease and high dangerous patient, had uncompleted advantage with carbon dioxide pneumoperitoneum laparoscopic surgery.Because of the adoption with Gasless hand-assisted technique, we found that the resection effect was promoted great. No matter the resection bowel length or lymph node clearing had obvious dominance, and it had reached the same effect between those two operation groups. There are obvious superiority on operation effect compared with abdomen opening surgery, had no difference on short time follow up, but the long-time curative effect need observed furthermore.Compared with acute-phase reaction and erythrocytic immune function, neutrophilic counts, interleukin-6, natural killer cells, C-reaction protein between gasless hand-assisted laparoscopic surgery and carbon dioxide pneumoperitoneum laparoscopic surgery, we found there were obvious difference on N/L rate, CRP, IL-6, Which provided evidence for evaluate the gasless hand-assisted laparoscopic technique superiority to the traditional surgery, and treatment for clinical immune modulation.

Related Dissertations

  1. Effects of Plant Essential Oil on Growth Performance , Intestinal Microflora and Immunization Performance in Piglets,S828.5
  2. The Study on the Effect of the Transport Stress and Anti-stress Treatment on the Physiological Function of Beef Cattle,S858.23
  3. Effects and Some Mechanisms of TACI-Ig on Immune Function in MRL/lpr Mice,R593.241
  4. Study on the Anesthestic Quality, Blood Concentration and Clinical Application of Shumianning Administered Intravenously by Continuous Rate Infusion Using Microinjection Pump in Dogs,R965
  5. Study on Enhancing Immune and Toxicology of Propolis Soft Capsule,R285
  6. Psoriasis vulgaris in different stages and card Hou T lymphocyte subsets,R275.9
  7. A Case Control Study:the Correlation between Cholecystectomy,cholecystolithiasis and Colorectal Carcinoma,R657.4
  8. Experimental Study on Femoral Neck-shaft Projectional Angle Measured by X-ray Estimates Femoral Neck Anteversion and Its Clinical Application,R816.8
  9. Effects of Postoperative Analgesia with Parecoxib Sodium and Fentanyl on the Immunity of Gynecological Patients,R614
  10. Effects of Different Antioxidants on Antioxidant Ability, Immune Functions and Related Gene Expressions in Yellow-Feathered Broilers,S831.5
  11. The Influence of Omega 3 Polyunsaturated Fatty Acid on the Immune Function of Sepsis,R459.7
  12. Research on the Effects of Different Routine Experimental Procedures and Rearing Environment on Wistar Rats,S865.12
  13. Effects of Achyranthis Bidentatae Polysaccharides (ABPS) on Growth Performance, Immune Function and Intestinal Function in Piglets Challenged with Lipopolysaccharide,S828.5
  14. The Influence of Different Dosage of Remifentanil on Postoperative Pain and Dose-response Relationship of Tramadol for Inhibiting Remifentanil-induced Hyperalgesia,R614
  15. The Evaluation of Butorphanol Tartrate Nasal Spray Used for Postoperative Analgesia after Laparoscopic Cholecystectomy,R614
  16. Effects of Clinical Pathways in Laparoscopic Cholecystectomy: a Meta-analysis,R657.4
  17. Transumbilical hole with conventional laparoscopic cholecystectomy porous comparative study,R657.4
  18. Comparative Study Between Transumbilical Single-hole Miniature Endoscopic Cholecystectomy and Conventional Laparoscopic Cholecystectomy,R657.4
  19. A Clinical Study on Jiangqi Hewei Tongfu Method to Promote Gastrointestinal and Immune Function for Postoperative patients with Intestinal Tumor,R273
  20. Chinese medicine decoction of the cellular immune function of patients with malignant tumors,R273
  21. Effect of Radix Hedysari and Its Compound on Performance, Antioxidation and Immune Function of Broilers,S831.5

CLC: > Medicine, health > Oncology > Gastrointestinal Cancer > Intestinal neoplasms
© 2012 www.DissertationTopic.Net  Mobile