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Colonic lipomas. Three surgical techniques for three different clinical cases

机译：结肠脂肪瘤。三种不同临床病例的三种手术技术

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Colonic lipomas larger than 2 cm in diameter are likely to be symptomatic. In some cases a complication is the first clinical sign. Massive lower intestinal bleeding or obstruction, acute bleeding, prolapse or perforation or, rarely, acute intussusception with intestinal obstruction require urgent surgery. Diagnosis is often made following colonoscopy, which can also have a therapeutic role. Imaging procedures such as CT has a secondary role.udPatients with small asymptomatic colonic lipomas need regular follow up. For larger (diameter > 2 cm) and/or symptomatic lipomas, resection should be considered, although the choice between endoscopic or surgical resection remains controversial. We believe that even lipomas > 2 cm can safely be removed by endoscopic resection. If surgery is indicated, we consider laparoscopy to be the ideal approach in all patients for whom minimally invasive surgery is not contraindicated.

机译：直径大于2 cm的结肠脂肪瘤可能是有症状的。在某些情况下，并发症是第一个临床症状。大量下肠道出血或梗阻，急性出血，脱垂或穿孔，或急性肠套叠伴肠梗阻很少需要紧急手术。通常在结肠镜检查后进行诊断，这也可以起到治疗作用。影像学检查（例如CT）具有辅助作用。 ud无症状的小肠结肠脂肪瘤患者需要定期随访。对于较大的（直径> 2 cm）和/或有症状的脂肪瘤，应考虑切除，尽管在内镜或手术切除之间的选择仍有争议。我们相信，即使是> 2 cm的脂肪瘤也可以通过内窥镜切除术安全地去除。如果需要手术，我们认为腹腔镜检查是所有不宜进行微创手术的患者的理想方法。

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Pezzolla A.; Lattaruolo S.; Caputi O.; Ugenti I.; Fabiano G.; Piscitelli D.;
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1. Detachable nylon loop assisted removal of large clinically significant colonic lipomas. [J] . Murray MA, Kwan V, Williams SJ, Gastrointestinal Endoscopy . 2005,第6期

机译：可拆卸的尼龙环有助于去除临床上重要的大肠脂瘤。
2. Safe techniques for endoscopic resection of gastrointestinal lipomas. [J] . Aydin HN, Bertin P, Singh K, Surgical laparoscopy, endoscopy and percutaneous techniques . 2011,第4期

机译：内镜切除胃肠道脂肪瘤的安全技术。
3. A multicenter retrospective study investigating the role of interventional bronchoscopic techniques in the management of endobronchial lipomas. [J] . Nassiri AH, Dutau H, Breen D, Respiration: International Review of Thoracic Diseases . 2008,第1期

机译：一项多中心回顾性研究，探讨了支气管镜介入技术在支气管内脂瘤管理中的作用。
4. TATE: LATEST DESIGN IN ELBOW REPLACEMENT, SURGICAL TECHNIQUE AND EARLY CLINICAL RESULTS [C] . Loic M. Dejardin, Reunan P. Guillou American College of Veterinary Surgeons Veterinary Symposium "the surgical summit" . 2009

机译：Tate：肘部替代品的最新设计，手术技术和早期临床结果
5. Comparison of implant placement accuracy using the flapless surgical technique with a conventional or stereolithographic surgical guide: A randomized clinical trial. [D] . Colby, Aaron J. 2010

机译：使用无瓣手术技术与常规或立体光刻手术指南的植入物放置精度比较：一项随机临床试验。
6. Clinical and Radiological Comparison between Three Different Minimally Invasive Surgical Fusion Techniques for Single-Level Lumbar Isthmic and Degenerative Spondylolisthesis: Minimally Invasive Surgical Posterolateral Fusion versus MinimallyInvasive Surgical Transforaminal Lumbar InterbodyFusion versus Midline Lumbar Fusion [O] . Mohamed Elmekaty, Yoshihisa Kotani, Emad El Mehy, 1998

机译：三种不同的单级腰部缺血性和退行性腰椎滑脱的微创手术融合技术的临床和放射学比较：微创手术后外侧融合与微创手术侵入性手术经椎间孔腰椎椎体间融合与中线腰椎融合
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机译：在使用新的扩张型心肌病的患者缓和EPOSTERS1385Longitudinal应变评估加速DENSE sequence1407Simultaneous T1和T2与CABIRIA心脏定量：在4维流动的加速算法初始临床experience1423Head对头比较CMR1502Left心室功能和尺寸由混合心脏正电子发射断层摄影术评价 - 磁性共振：由两个modalities1510Left庭派生左室射血分数和心室体积的个体间的比较，在1.5和3特斯拉评估心血管磁共振 - 免费的年龄和性别effects1514Comparison呼吸心脏MRI径向技术标准的多屏气电影SSFP CMR技术的LV卷和Function1536Self-导航自由呼吸各向同性3D整个心脏相位敏感反转恢复磁共振导航仪没有检测右Ventricu心肌infarction1547Assessment的评估拉尔菌株使用心肌变形恢复半自动技术：初步经验和正常Values1586Tissue跟踪心肌变形分析和预测左室重构急性心肌infarction1589Investigating策略优化31P MRS临床心脏在3T：初始Results1620Quantitative标准的先天缺失的诊断心包心脏磁Resonance1632Widespread组织损伤急性心肌梗死时：证据先进CMR relaxometry1322Computed CT冠状动脉成像与压力心脏磁共振对症的管理吻合血管患者：成本效益研究（战略研究）1339Comparison低与高剂量钆布醇在1.5特斯拉晚钆增强成像的临床可行性，在中间型地贫心脏并发症的预测study1347Multi参数心脏核磁共振的前瞻性德穆尔心血管磁共振的ticenter Study1461Prognostic价值衍生心肌纤维化指标在住院的急性期CMR的心脏移植recipients1523The作用：改变基于CMR-paradigms1542Preoperative比分预测缺血性心脏衰竭patients1555Excellent响应速度外科左心室重建心脏再同步化后心室反应治疗与磁共振imaging1626The ECG导引作为心脏磁共振成像致心律失常性基板的在ST段抬高心肌infarction1340Pathological在风险评估经历在3.0T CMR T1映射的室性早搏contractions1649Comparison和血管造影APPROACH分数区域消融患者的预测左束支传导疾病的患者与非缺血性心肌病相关因素：心血管磁共振study1342Myocardial重塑和纤维化nonischaemic扩张型心肌病：在从在由心血管磁性resonance1622Persistent心肌炎症评估肥厚型心肌病的纤维化和收缩功能障碍之间心血管磁性resonance1411The协会由于心肌内出血景点在再灌注STEMI为先导，以不利的LV重塑 - 从低的多参数mapping1566Semiquantitative分析和高的b值DWI的见解为在心脏MRI检测冠状动脉疾病急性myocarditis1567Value在结节性硬化症complex1578Papillary肌肉初诊收缩期Dysfunction1570Usefulness心脏磁共振检测心肌水肿提供进一步的深入了解肥大心脏：心血管磁共振study1627Diagnostic和CMR定时的临床意义（早期与晚）患者肌钙蛋白阳性的急性冠脉综合征和通畅的冠状动脉：表1。

Colonic lipomas. Three surgical techniques for three different clinical cases

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