Duration of Operation and Intraoperational Blood Loss in Total Mezorektumektomy

Q: What is the clinical evidence from this study?

Study design: Cohort. Population: resectable middle and lower ampullar rectal cancer (n=318). Intervention: Total mesorectal excision (TME) vs. Traditional blind selection of the rectum (SVPK). Primary outcome: Intraoperative blood loss (ml) (p=<0.001).

Q: What does this research mean for the field?

Total mesorectal excision significantly reduces intraoperative blood loss compared to traditional blunt dissection of the rectum in patients with rectal cancer. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

В. В. Половинкин; А. В. Волков; А. А. Халафян

doi:10.20333/25000136-2013-2-54-59

January 1, 2013Siberian medical reviewOpen Access

Duration of Operation and Intraoperational Blood Loss in Total Mezorektumektomy

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Key result

Total mesorectal excision linked to ~45% less intraoperative blood loss vs traditional blind selection.

P<0.001
n=318

Why the study?

Does complex (pharmacological and non-drug) treatment improve the effectiveness of treatment and rehabilitation programs in patients with paranoid schizophrenia?

Study Design

Type

Cohort (n=318)

Multicenter

No

Structured PICO

Does complex (pharmacological and non-drug) treatment improve the effectiveness of treatment and rehabilitation programs in patients with paranoid schizophrenia?

P

Population

318 patients with resectable middle and lower ampullar rectal cancer who underwent either total mesorectal excision or traditional blind selection of the rectum.

I

Intervention

Complex (pharmacological and non-drug) treatment aimed at restoring the tone of cerebral vessels and normalization of cerebral blood flow

O

Outcome

Effectiveness of treatment and rehabilitation programs

Main Result

Absolute Event Rate: 316.7% vs 576%

p-value: p=<0.001

Limitations

Retrospective-prospective design
Learning curve effect on operation duration

Implication

The study provides criteria for predicting the effectiveness of complex treatment and rehabilitation programs in patients with paranoid schizophrenia.

Abstract

There were analyzed the results of a complex (pharmacological and non-drug, aimed at restoring the tone of cerebral vessels and normalization of cerebral blood flow) treatment of 196 patients with paranoid schizophrenia.Were given criteria for predicting the effectiveness of treatment and rehabilitation programs for the treatment of patients.Key words: paranoid schizophrenia, therapy, effectiveness.Литература 1. Гирич Я. П. Возможности противостояния врачей непрофессиональным «целителям» при лечении психосоматических болезней.-Красноярск, 1992.-56 с. 2. Мальцева Е. А., Злоказова М. В. Исследование особенностей межличностного взаимодействия у пациентов молодого возраста, страдающих шизофренией / Актуальные вопросы психиатрии и наркологии: Матер.XV научной отчетной сессии НИИПЗ СО РАМН.-Томск, 2011.-С.145-146.3. Семке А. В., Семке В. Я. Психотерапия в адаптации и реабилитации больных шизофренией / Актуальные вопросы психиатрии и наркологии: Матер.XV научной отчетной сессии НИИПЗ СО РАМН.-Томск, 2011.-С.152-159.4. Fenton W. S. Evidence-based psychosocial treatment for schizophrenia // Schizophr.Bul.

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Cite This Study

Половинкин et al. (2013) conducted a cohort in resectable middle and lower ampullar rectal cancer (n=318). Total mesorectal excision (TME) vs. Traditional blind selection of the rectum (SVPK) was evaluated on Intraoperative blood loss (ml) (p=<0.001).

synapsesocial.com/papers/6aaa3ff8db23548f19960207 https://doi.org/10.20333/25000136-2013-2-54-59

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Duration of Operation and Intraoperational Blood Loss in Total Mezorektumektomy

Study Design

Structured PICO

Main Result

Limitations

Implication

Abstract

Discussion

Cite This Study

Duration of Operation and Intraoperational Blood Loss in Total Mezorektumektomy

Study Design

Structured PICO

Main Result

Limitations

Implication

Abstract

Discussion

Cite This Study

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