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用于结直肠外科手术的床旁数字直肠镜的优势:视频支持的病例系列

Advantages of a Point-of-care Digital Rectoscope for Colorectal Surgical Practice: A Video-supported Case Series.

作者信息

Nijssen David J, Hompes Roel, Laméris Wytze

机构信息

Department of Surgery, Amsterdam UMC, University of Amsterdam.

Cancer Treatment and Quality of Life, Cancer Center Amsterdam, Amsterdam, The Netherlands.

出版信息

Surg Laparosc Endosc Percutan Tech. 2025 Aug 1;35(4):e1372. doi: 10.1097/SLE.0000000000001372.

Abstract

PURPOSE

Point-of-care (POC) diagnostic tools can support timely and efficient clinical decision-making. The introduction of a POC digital rectoscope has the potential to enhance colorectal surgical practice by enabling immediate bedside endoscopic evaluation in different settings.

METHODS

This case series describes 5 cases, with video documentation illustrating the potential benefits of using a portable digital rectoscope in outpatient follow-up, inpatient postoperative care, and emergency settings.

RESULTS

In a tertiary referral center, POC rectoscopy effectively supported the detection of anastomotic leakage and rectal perforation, response evaluation after neoadjuvant treatment for rectal cancer, and facilitated follow-up after treatment for anastomotic leakage.

CONCLUSIONS

POC digital rectoscopy shows promise in enhancing the diagnostic efficiency of colorectal care. Further studies are warranted to evaluate its clinical impact and cost-effectiveness for the illustrated indications.

摘要

目的

即时检验(POC)诊断工具可支持及时、高效的临床决策。引入POC数字直肠镜有潜力通过在不同场景下实现即时床边内镜评估来改善结直肠外科手术实践。

方法

本病例系列描述了5例病例,并通过视频记录展示了在门诊随访、住院术后护理和急诊环境中使用便携式数字直肠镜的潜在益处。

结果

在一家三级转诊中心,POC直肠镜检查有效地支持了吻合口漏和直肠穿孔的检测、直肠癌新辅助治疗后的反应评估,并促进了吻合口漏治疗后的随访。

结论

POC数字直肠镜检查在提高结直肠护理诊断效率方面显示出前景。有必要进行进一步研究以评估其对所述适应症的临床影响和成本效益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86c0/12303243/55128d98b816/sle-35-e1372-g001.jpg

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