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

IF 1.1 4区医学 Q3 SURGERY

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques Pub Date : 2025-05-05 DOI:10.1097/SLE.0000000000001372

David J Nijssen, Roel Hompes, Wytze Laméris

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引用次数: 0

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.

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即时数字直肠镜在结直肠外科实践中的优势：一个视频支持的病例系列。

目的：点护理（POC）诊断工具可以支持及时有效的临床决策。POC数字直肠镜的引入有可能通过在不同环境下进行即时床边内镜评估来增强结直肠手术实践。方法：本病例系列描述了5例病例，并配有视频文件，说明了在门诊随访、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：在某三级转诊中心，POC直肠镜检查有效地支持了吻合口瘘和直肠穿孔的发现以及直肠癌新辅助治疗后的疗效评价，方便了吻合口瘘治疗后的随访。结论：POC数字直肠镜检查对提高结直肠癌的诊断率具有重要意义。需要进一步的研究来评估其临床影响和所述适应症的成本效益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 医学-外科

CiteScore

2.00

自引率

10.00%

发文量

103

审稿时长

3-8 weeks

期刊介绍： Surgical Laparoscopy Endoscopy & Percutaneous Techniques is a primary source for peer-reviewed, original articles on the newest techniques and applications in operative laparoscopy and endoscopy. Its Editorial Board includes many of the surgeons who pioneered the use of these revolutionary techniques. The journal provides complete, timely, accurate, practical coverage of laparoscopic and endoscopic techniques and procedures; current clinical and basic science research; preoperative and postoperative patient management; complications in laparoscopic and endoscopic surgery; and new developments in instrumentation and technology.