对于年轻发病的分泌体炎的手术:它是治愈的吗?
Tara M Connelly1, Ju Yong Cheong1, Eddy P Lincango1
1Dept. of Colorectal Surgery, Cleveland Clinic, Digestive Disease and Surgery Institute, 9500 Euclid Ave./A 30, Cleveland, OH, 44195, USA.
International journal of colorectal disease
|July 15, 2023
概括
在40岁以下的患者中,椎病的切除是罕见的,复发率低,瘤发生率低. 即使在选择性病例中,也需要仔细考虑功能失调的结节管.
科学领域:
- 结肠直肠外科手术是什么意思
- 胃肠病学 胃肠病学
- 手术成果研究的研究结果.
背景情况:
- 发 diverticular 疾病越来越多地在年轻人群中被诊断出来.
- 针对年轻发病的分支管疾病的手术指南已经转向了个性化的方法.
- 了解这一人口群体的结果对于手术决策至关重要.
研究的目的:
- 为了确定40岁以下因分泌器疾病而接受切除的患者的人口统计数据.
- 为了评估这个患者群体的放射和手术复发率.
- 评估整体结果,包括并发症率和逗留时间.
主要方法:
- 对39岁或更年轻的患者进行了回顾性,单中心的研究,这些患者因左侧分歧管疾病接受了手术 (2010年1月 - 2017年7月).
- 通过审查成像和手术报告来确定复发情况.
- 收集了人口统计数据,手术指示,手术,并发症和随访数据.
主要成果:
- 包括147名患者 (72.8%是男性,平均年龄为34.9岁).
- 最常见的症状是无并发性分泌体炎 (52.4%) 和穿孔 (17.7%).
- 观察到较低的死亡率 (0%),手术内 (2.0%) 和术后并发症 (25.9%),其中最常见的是静脉漏 (4.1%).
- 在1.3%的病例中发现了新形成性病变.
- 在平均96个月的随访期间,仅1.3%的患者出现了手术或放射性复发.
结论:
- 在40岁以下的患者中,因分泌管疾病而进行切除与罕见的瘤发生和复发有关.
- 解剖管漏洞,特别是在选择性手术后,强调需要仔细考虑功能失调的结节管.
- 在年轻患者中,这些有利的结果支持了个性化手术方法.
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