结肠直肠切除与结肠直肠切除:对结肠直肠癌中肠直肠切除后的功能结果的影响
Jacopo Martellucci1, Riccardo Balestri2, Luigi Brusciano3
1General, Emergency and Minimally Invasive Surgery, Careggi University Hospital, Florence, Italy.
概括
结直肠癌手术后的临时静脉可能会对肠道功能产生负面影响,特别是延迟关闭的结直肠. 选择静脉管类型和关闭时间对于更好的患者结果至关重要.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
背景情况:
- 功能失调的口腔被用于直肠癌的全腹腔切除术 (TME) 后,以防止静脉口腔泄漏.
- 然而,暂时或长期使用口腔管可能会导致进一步的疾病和肠道功能受损.
研究的目的:
- 评价转向口腔 (结肠口腔与结肠口腔) 对TME后的临床和功能结果对直肠癌的影响.
- 为了比较结肠直肠切除术与结肠直肠切除术对术后功能状态的影响.
主要方法:
- 一项研究包括2017年3月至2020年12月期间连续416名因直肠癌而接受TME的患者.
- 收集的数据包括患者人口统计学,瘤阶段,新辅助疗法,手术/解静脉技术,静脉,并发症和功能结果.
- 分析了特定的闭口特征,如闭口类型,闭口时间和并发症.
主要成果:
- 在93%的患者中使用了临时性静脉口腔 (71%的静脉口腔,21%的静脉口腔).
- 在创建和关闭后的结肠静脉切除和结肠静脉切除组之间没有观察到总体发病率的显著差异.
- 延迟的静脉关闭,特别是在静脉关闭时,与术后功能障碍的增加有关.
结论:
- 功能失调的口腔可能会对功能性肠道活动产生负面影响,尤其是在延迟结肠口腔关闭的情况下.
- 在结肠静脉切除和结肠静脉切除之间做出选择时,应考虑对功能结果的潜在影响以及静脉静脉切除关闭的时间.
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