在卵巢癌细胞减小手术中,直西格切除的病率
Afshan Saeed Usmani1, Iqra Yasin1, Rehan Bin Asif1
1Department of Surgical Oncology, Shaukat Khanum Hospital and Research Centre, Lahore, Pakistan.
JPMA. The Journal of the Pakistan Medical Association
|July 10, 2023
概括
在晚期卵巢癌的细胞还原性手术中切除rectosigmoid导致15%的患者出现显著的并发症. 尿路问题和腹腔内是主要问题,影响了患者的治疗结果.
科学领域:
- 妇科瘤学 妇科瘤学
- 手术瘤学手术瘤学
- 胃肠道手术 胃肠道手术
背景情况:
- 晚期卵巢癌通常需要细胞削减手术,这可能涉及到广泛的肠切除.
- 整形西格切除是一种复杂的手术,与潜在的术后发病率有关.
研究的目的:
- 为了评估晚期卵巢癌细胞减小手术期间与直指西格切除相关的发病率和并发症.
- 用Clavien-Dindo分类来评估并发症的类型和严重程度.
主要方法:
- 在2016年1月至2021年1月期间,对20名女性患者进行了因晚期卵巢癌而经历直西格切除的回顾性病例系列.
- 数据收集包括患者人口统计,手术手术和手术后并发症,按克拉维恩 - 丁多系统分类.
主要成果:
- 20名患者中有3名 (15%) 出现并发症.
- 观察到的并发症包括尿路问题 (66.7%) 和腹内 (33.3%).
- 这些并发症分为克拉维恩-丁多II级 (66.7%) 和III-B级 (33.3%).
结论:
- 作为治疗晚期卵巢癌的细胞削减手术的一部分,直肠西格切除与显著的术后发病率相关.
- 尿道并发症和腹腔内是关键问题,需要仔细管理和监测患者.
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