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疗效好，创伤小，附属一院完成全国首例助式腹腔镜肾盂癌根治术
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- 作者：
- 王其玲
- 出版日期：
- 2001-11-10
- 正文快照：
- 本报讯日前，我校医学院附属第一医院泌尿科谢立平教授、楼国光医师等采用手助腹腔镜新术式，成功地为一位肾盂癌患者行根治手术，该方法结合了传统手术和腹腔镜技术各自的优点、，能完整切除病变组织，且创有小、恢复快，拓展了腹腔镜技术的临床应用范围，具有广阔的发展前景。浙江浦江47岁的翁某，因反复血尿来浙一泌尿外科就诊，经B超、静脉尿路造影、双肾CT及磁共振等检查，诊断为右侧肾盂肿瘤，需要将右侧肾脏及输尿管全部切除，并切降部分膀胱。这样的手术如采用传统方法，通常要在患者腰部开15至20厘米切口、下腹部开7至10厘来切口，术后住院10天以上。而采用腹腔镜手术无法将病变组织完整取出，这给肿瘤的病理诊断及分期带来困难，不到手术后治疗方案的选择。谢教授经反考虑，决定采用国际上新近开展的手助腹腔镜技术，并精心设计手术方式。术后第二天体温恢复正常，第三天下床活动，第六天顺利出院。据介绍，腹腔镜手术因创伤小、出血量少、恢复快受到患者欢迎，但对于较大的病变组织，需用器械分割后可经“小洞”取出，无法完整保留以备病理检查，手助腹腔镜手术较好地解决了这一难题。经文献检索，采用该方法进行一侧J肾、输尿管全切、膀胱部分切除在国内至今未见报道；处于国内领先水平。
- 期次：
- 第80期
- 版次：
- 2
- 来源：
- 浙江大学报
FreeMarker template error (DEBUG mode; use RETHROW in production!):
The following has evaluated to null or missing:
==> showFlag [in template "home/review/reviewCnki.ftl" at line 144, column 6]
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Tip: If the failing expression is known to legally refer to something that's sometimes null or missing, either specify a default value like myOptionalVar!myDefault, or use <#if myOptionalVar??>when-present<#else>when-missing. (These only cover the last step of the expression; to cover the whole expression, use parenthesis: (myOptionalVar.foo)!myDefault, (myOptionalVar.foo)??
----
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FTL stack trace ("~" means nesting-related):
- Failed at: #if showFlag [in template "home/review/reviewCnki.ftl" at line 144, column 1]
----
Java stack trace (for programmers):
----
freemarker.core.InvalidReferenceException: [... Exception message was already printed; see it above ...]
at freemarker.core.InvalidReferenceException.getInstance(InvalidReferenceException.java:134)
at freemarker.core.UnexpectedTypeException.newDesciptionBuilder(UnexpectedTypeException.java:85)
at freemarker.core.UnexpectedTypeException.(UnexpectedTypeException.java:48)
at freemarker.core.NonBooleanException.(NonBooleanException.java:47)
at freemarker.core.Expression.modelToBoolean(Expression.java:179)
at freemarker.core.Expression.evalToBoolean(Expression.java:162)
at freemarker.core.Expression.evalToBoolean(Expression.java:147)
at freemarker.core.ConditionalBlock.accept(ConditionalBlock.java:48)
at freemarker.core.Environment.visit(Environment.java:325)
at freemarker.core.Environment.visit(Environment.java:331)
at freemarker.core.Environment.process(Environment.java:304)
at freemarker.template.Template.process(Template.java:382)
at org.springframework.web.servlet.view.freemarker.FreeMarkerView.processTemplate(FreeMarkerView.java:396)
at org.springframework.web.servlet.view.freemarker.FreeMarkerView.doRender(FreeMarkerView.java:309)
at org.springframework.web.servlet.view.freemarker.FreeMarkerView.renderMergedTemplateModel(FreeMarkerView.java:257)
at org.springframework.web.servlet.view.AbstractTemplateView.renderMergedOutputModel(AbstractTemplateView.java:165)
at org.springframework.web.servlet.view.AbstractView.render(AbstractView.java:314)
at org.springframework.web.servlet.DispatcherServlet.render(DispatcherServlet.java:1325)
at org.springframework.web.servlet.DispatcherServlet.processDispatchResult(DispatcherServlet.java:1069)
at org.springframework.web.servlet.DispatcherServlet.doDispatch(DispatcherServlet.java:1008)
at org.springframework.web.servlet.DispatcherServlet.doService(DispatcherServlet.java:925)
at org.springframework.web.servlet.FrameworkServlet.processRequest(FrameworkServlet.java:978)
at org.springframework.web.servlet.FrameworkServlet.doGet(FrameworkServlet.java:870)
at javax.servlet.http.HttpServlet.service(HttpServlet.java:626)
at org.springframework.web.servlet.FrameworkServlet.service(FrameworkServlet.java:855)
at javax.servlet.http.HttpServlet.service(HttpServlet.java:733)
at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:227)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:162)
at org.apache.tomcat.websocket.server.WsFilter.doFilter(WsFilter.java:53)
at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:189)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:162)
at org.apache.catalina.filters.HttpHeaderSecurityFilter.doFilter(HttpHeaderSecurityFilter.java:126)
at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:189)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:162)
at org.apache.shiro.web.servlet.ProxiedFilterChain.doFilter(ProxiedFilterChain.java:61)
at cnki.tpi.filter.ShiroSsoFilter.doFilter(ShiroSsoFilter.java:70)
at org.apache.shiro.web.servlet.ProxiedFilterChain.doFilter(ProxiedFilterChain.java:66)
at org.apache.shiro.web.servlet.AbstractShiroFilter.executeChain(AbstractShiroFilter.java:449)
at org.apache.shiro.web.servlet.AbstractShiroFilter$1.call(AbstractShiroFilter.java:365)
at org.apache.shiro.subject.support.SubjectCallable.doCall(SubjectCallable.java:90)
at org.apache.shiro.subject.support.SubjectCallable.call(SubjectCallable.java:83)
at org.apache.shiro.subject.support.DelegatingSubject.execute(DelegatingSubject.java:383)
at org.apache.shiro.web.servlet.AbstractShiroFilter.doFilterInternal(AbstractShiroFilter.java:362)
at org.apache.shiro.web.servlet.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:125)
at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:189)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:162)
at cnki.tpi.filter.SimpleCORSFilter.doFilter(SimpleCORSFilter.java:28)
at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:189)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:162)
at org.jasig.cas.client.util.HttpServletRequestWrapperFilter.doFilter(HttpServletRequestWrapperFilter.java:75)
at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:189)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:162)
at org.jasig.cas.client.validation.AbstractTicketValidationFilter.doFilter(AbstractTicketValidationFilter.java:201)
at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:189)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:162)
at cnki.tpi.filter.SimpleCORSFilter.doFilter(SimpleCORSFilter.java:28)
at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:189)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:162)
at org.springframework.web.filter.RequestContextFilter.doFilterInternal(RequestContextFilter.java:99)
at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107)
at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:189)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:162)
at org.springframework.web.filter.HttpPutFormContentFilter.doFilterInternal(HttpPutFormContentFilter.java:109)
at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107)
at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:189)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:162)
at org.springframework.web.filter.HiddenHttpMethodFilter.doFilterInternal(HiddenHttpMethodFilter.java:81)
at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107)
at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:189)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:162)
at org.springframework.boot.web.servlet.support.ErrorPageFilter.doFilter(ErrorPageFilter.java:115)
at org.springframework.boot.web.servlet.support.ErrorPageFilter.access$000(ErrorPageFilter.java:59)
at org.springframework.boot.web.servlet.support.ErrorPageFilter$1.doFilterInternal(ErrorPageFilter.java:90)
at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107)
at org.springframework.boot.web.servlet.support.ErrorPageFilter.doFilter(ErrorPageFilter.java:108)
at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:189)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:162)
at org.springframework.web.filter.CharacterEncodingFilter.doFilterInternal(CharacterEncodingFilter.java:200)
at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107)
at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:189)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:162)
at org.apache.catalina.core.StandardWrapperValve.invoke(StandardWrapperValve.java:202)
at org.apache.catalina.core.StandardContextValve.invoke(StandardContextValve.java:97)
at org.apache.catalina.authenticator.AuthenticatorBase.invoke(AuthenticatorBase.java:542)
at org.apache.catalina.core.StandardHostValve.invoke(StandardHostValve.java:143)
at org.apache.catalina.valves.ErrorReportValve.invoke(ErrorReportValve.java:92)
at org.apache.catalina.valves.AbstractAccessLogValve.invoke(AbstractAccessLogValve.java:687)
at org.apache.catalina.core.StandardEngineValve.invoke(StandardEngineValve.java:78)
at org.apache.catalina.connector.CoyoteAdapter.service(CoyoteAdapter.java:357)
at org.apache.coyote.http11.Http11Processor.service(Http11Processor.java:374)
at org.apache.coyote.AbstractProcessorLight.process(AbstractProcessorLight.java:65)
at org.apache.coyote.AbstractProtocol$ConnectionHandler.process(AbstractProtocol.java:893)
at org.apache.tomcat.util.net.NioEndpoint$SocketProcessor.doRun(NioEndpoint.java:1707)
at org.apache.tomcat.util.net.SocketProcessorBase.run(SocketProcessorBase.java:49)
at java.util.concurrent.ThreadPoolExecutor.runWorker(ThreadPoolExecutor.java:1149)
at java.util.concurrent.ThreadPoolExecutor$Worker.run(ThreadPoolExecutor.java:624)
at org.apache.tomcat.util.threads.TaskThread$WrappingRunnable.run(TaskThread.java:61)
at java.lang.Thread.run(Thread.java:748)
