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对结肠癌的右侧半结肠切除术:解口的配置是否会影响短期的结果?
Ashray Rajagopalan1,2, Suellyn Centauri1, Ellathios Antoniou1
1Department of Colorectal Surgery, Monash Health, Melbourne, Victoria, Australia.
对于右半角切除术,接端到侧解剖,与接侧到侧技术相比,术后阴茎发病率较低. 手工和合方法在结肠癌手术中对泄漏和出血有类似的结果.
科学领域:
- 结肠直肠外科手术是什么意思
- 手术瘤学手术瘤学
- 胃肠道手术 胃肠道手术
背景情况:
- 右侧直肠切除术是治疗右侧结肠癌的标准手术.
- 伊利奥科利性解剖解剖技术包括接端到侧,接侧到侧,以及手工合方法.
- 解剖管泄漏,出血和术后阴道是关键的短期并发症.
研究的目的:
- 为了比较结肠癌的右半结肠切除术后不同静脉口腔结构的短期结果.
- 评估解术技术对泄漏,出血和阴茎的影响.
主要方法:
- 对8164名因结肠癌而接受右半球切除术的患者进行了回顾性分析.
- 从94家医院的肠癌结果登记 (BCOR) 收集的数据 (2007-2021年).
- 手工,拼接端到侧,和拼接侧到侧的解技术的比较.
主要成果:
- 在不同技术之间,无显著的差异在静脉漏或出血率.
- 嵌入式端到侧解与手术后子发病率较低 (6.5%) 与嵌入式侧到侧 (7.2%;P=0.03) 相比.
结论:
- 无论是手工和接的解均可用于瘤性右半球切除术,具有相似的泄漏和出血率.
- 与拼接的一侧到另一侧的技术相比,拼接端到侧的解剖切除可能会降低长期手术后阴茎的风险.
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