左侧恶性结肠阻塞的5年瘤结局:支架作为通往手术的桥梁
Noura S Alhassan1, Sulaiman A AlShammari1, Razan N AlRabah2
1Colorectal Research Chair, Department of Surgery, College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
自扩张金属支架 (SEMS) 作为左侧结肠癌手术 (BTS) 的桥梁,显示了与前置手术相似的5年生存率. 谨慎的患者选择是决定SEMS和紧急手术之间的关键.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 结肠直肠癌研究研究
背景情况:
- 结肠阻塞是结肠癌患者常见的表现.
- 自扩张金属支架 (SEMS) 作为左侧结肠癌阻塞手术 (BTS) 的桥梁的作用受到争议.
- 本研究评估了SEMS作为BTS的5年瘤结果.
研究的目的:
- 在患有左侧结肠癌阻塞的患者中,研究使用SEMS作为BTS的5年瘤结果.
- 为了比较SEMS作为BTS和前置手术之间的瘤结果.
主要方法:
- 对左侧恶性结肠阻塞患者进行了治疗性手术的回顾性审查.
- 在2009年3月至2013年5月期间,患者在呈现时没有转移.
- 作为BTS群体,前期手术和SEMS之间的结果比较.
主要成果:
- 包括45名患者:28名前置手术,17名SEMS作为BTS.
- 作为BTS组,T4阶段在SEM中明显高 (35.3%对10.7%,p=0.043).
- 群体之间的5年无病生存率 (75%对72%) 和整体生存率 (89%对82%) 是可比的,尽管在统计学上是微不足道的.
结论:
- 作为BTS,SEMS提供了可比的5年生存率和无病生存率,与左侧结肠癌的急诊手术相比.
- 患者选择和内镜师的经验对于治疗决策至关重要.
- 对于某些患有恶性结肠阻塞的患者来说,SEMS可能是一个可行的选择.
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