To explore the feasibility of using indocyanine green(ICG) visualizing the deep infiltrating endometriosis (DIE) during robotic surgery.

A patient with DIE in Department of Genecology and Obstetrics, Chinese PLA General Hospital was selected and underwent total hysterectomy with bilateral adnexectomy and endometriosis lesion excision with perfect preoperative examination and no surgical contraindication. Near-infrared fluorescence imaging with indocyanine green was used in the operation to visualize the endometriosis lesions.

The location of the lesions were accurate and the patient discharged from hospital successfully.

Near-infrared fluorescence imaging system with indocyanine green may clearly visualize the deep infiltrating endometriosis during robotic surgery. It is characterized by brief operation, accuracy and real time. With this technique, we can comprehensively evaluate the scope of our surgery.

Taking the clinical microbiology laboratory techniques course as an example to explore how to integrate ideological and political education into the "student-centered, position competence-oriented" specialized course, and create a comprehensive classroom where knowledge, belief and behavior were united.

First of all, the teaching team design the ideological and political education based on the teaching objects and the teaching goal, exploit the connotation of ideology from the position characteristics, and closely integrate the professional knowledge with ideological and political education. Secondly, with the concrete classroom implementation, the teaching team put forward the ideological education innovation of the concept of research feeding back teaching, project-based course. And the knowledge-belief-behavior united innovation of the cultivation mode, which combines the students' practice with the teachers setting an example. Finally, the effectiveness of the ideological construction of the course with knowledge-belief-behavior united synergistic education was examined through evaluation and reflection.

The comprehensive classroom combined with featured innovative practices successfully constructed an effective carrier for delivering the ideological and political elements of professional courses, which helps students consolidate the theoretical knowledge, improve the practical ability, enhance the professionalism, practice the position skills, and lay the foundation for their post-graduation development.

Through the experience sharing of ideological and political education in the course of clinical microbiology laboratory techniques, it is hoped that the ideological construction experience of this course can provide reference for ideological education in other medical laboratory professional courses.

To explore the CT imaging findings of strangulated intestinal obstruction caused by uterine broad ligament hernia.

A retrospective analysis was conducted on the CT and surgical data of a patient with uterine broad ligament hernia combined with strangulation intestinal obstruction admitted to the Department of Gastrointestinal Surgery of Jining NO.1 People′s Hospital on December 23, 2022, and the relevant literature was reviewed.

A 69-year-old female patient presented with abdominal pain for 1 day. The pain was persistent with intermittent exacerbations, accompanied by abdominal distension, nausea, vomiting of non-bloody gastric contents, and cessation of flatus and defecation. Plain abdominal CT scan revealed clustered small bowel loops in the lower abdomen. The hernia orifice was located anterior-superior to the left round ligament of the uterus. Distal ileal herniated into the uterus from the left posteriorly to the front and downward. The herniated bowel loop at the hernia orifice exhibited a beak sign, and the adjacent bladder was stretched into a linear shape. Coronal images showed rigid, C-shaped herniated bowel loops with slightly thickened walls, associated mesenteric edema, and brush-like venous dilation, suggesting internal hernia with intestinal obstruction. Surgical intervention confirmed the diagnosis of broad ligament hernia.

Preoperative diagnosis of strangulated intestinal obstruction caused by internal abdominal hernia is challenging. Multi-row spiral computed tomography provides significant diagnostic clues for uterine broad ligament hernia complicated by intestinal obstruction and intestinal ischemia.

This article presents a case of advanced renal cell carcinoma in a male patient, diagnosed following the identification of a pulmonary space-occupying lesion. The patient presented to Zhuhai Hospital of Integrated Traditional Chinese and Western Medicine due to persistent coughing for one year and anterior chest pain for two weeks. Chest and abdominal CT scans revealed lung cancer located in the lower lobe of the left lung, accompanied by multiple intrapulmonary metastases as well as metastatic tumors throughout other regions of the body including both kidneys. A biopsy was performed on the pulmonary mass, with pathological analysis confirming adenocarcinoma. Based on immunohistochemical findings, it was determined that the tumor likely originated from the kidney. Following multidisciplinary discussions within the hospital and consultations with the patient's family, a treatment plan involving toripalimab combined with axitinib for targeted therapy and immunotherapy was established, alongside traditional Chinese medicine tailored to syndrome differentiation and dietary therapy. After five courses of this combined treatment regimen, significant regression of the patient's tumors was observed. Subsequent multidisciplinary consultation conducted by Guangdong Urological Association, the experts recommended continuing targeted therapy and immunotherapy while monitoring liver function closely, they also suggested integrating traditional Chinese medicine treatments along with performing PET-CT imaging and renal biopsy if feasible. Upon further discussion with the patient's family, continuation of targeted therapy and immunotherapy proceeded as planned. The PET-CT results indicated substantial reductions in both lung and kidney tumors without any evident hypermetabolism detected in other areas. In conclusion, this case illustrates that combining targeted therapies with immunotherapy alongside traditional Chinese medicine can yield effective outcomes for patients suffering from advanced renal cell carcinoma.