在接受肝胆道手术的患者中,乳轴狭窄的临床影响
Pawel A Bieniek1, Shadi Katou1, Hermann Kraehling2
1Department of General, Visceral and Transplant Surgery, University Hospital Muenster, Waldeyerstrasse 1, 48149, Münster, Germany.
Langenbeck's archives of surgery
|July 16, 2023
概括
无症状的乳轴狭窄症 (CAS) 不会增加术后并发症,也不会影响肝胆道手术后的生存率. 需要对复杂病例和潜在的CAS治疗益处进行进一步的研究.
科学领域:
- 肝胆道手术 肝胆道手术
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 结核轴狭窄症 (CAS) 往往是在接受肝胆道手术的患者中偶然发现的.
- 大多数CAS病例无症状,其对术后结果的影响尚不清楚.
研究的目的:
- 评估无症状CAS对接受肝胆道手术的患者手术后发病率和存活率的影响.
主要方法:
- 从250名患者 (2011-2018) 的CT扫描和临床病理学数据的回顾性分析.
- 在患有和没有偶然的CAS的患者之间,术后的病程和整体存活率的比较.
主要成果:
- CAS主要是由动脉样硬化引起的 (64%).
- 患有CAS的患者年龄较大,并接受了更多的重大肝切除术.
- 两组之间没有观察到术后发病率或整体存活率的显著差异.
结论:
- 无症状的CAS与术后并发症增加或肝胆外科手术后生存率降低无关.
- 复杂案件中偶然的CAS的影响需要进一步调查.
- 需要更多的研究来确定在手术前可能受益于CAS治疗的患者.
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