光学支架安置作为恶性结肠直肠阻塞手术的桥梁:短期和长期结果
Journal of the Korean Society of Radiology
|June 16, 2023
概括
在光镜支架放置后的单阶段手术对恶性结直肠阻塞是有效的. 然而,与支架相关的肠道穿孔显著增加了瘤复发的风险.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 干预性放射学 干预性放射学
背景情况:
- 恶性结直肠阻塞是一个重大的临床挑战.
- 支架安置提供了息和桥梁到手术的选择.
- 评估一个阶段的手术后的结果是非常重要的.
研究的目的:
- 在患有恶性结直肠阻塞的患者中,评估光镜支架放置后单阶段手术切除的疗效和结果.
主要方法:
- 对46名接受光镜支架安置,随后进行腹腔镜或开放手术的患者进行了回顾性分析.
- 对手术结果的分析,包括初级解剖,住院时间和并发症.
- 评估无复发和整体存活率,评估预后因素.
主要成果:
- 在所有患者中都实现了初级解.
- 术后平均住院时间为11.0天.
- 肠道穿孔发生在13.0%的患者中,显著影响了无复发生存率 (p=0.010).
- 在21.7%的患者中观察到复发,那些经历过穿孔的患者的发病率更高.
结论:
- 光镜支架放置后的单阶段手术是恶性结肠直肠阻塞的可行方法.
- 与支架相关的肠孔是与增加瘤复发相关的关键预后因素.
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