尾神经内分泌瘤和中尾切除:一个回顾性比较研究
Ali Sarfarazi1, Michael Russell2, Greer Janssen2
1General Surgery, Auckland City Hospital, Auckland, New Zealand. Sali054@gmail.com.
Langenbeck's archives of surgery
|August 3, 2023
概括
在尾切除术期间的中尾切除对于分期尾瘤是安全有效的. 这种做法减少了在某些特定情况下进一步进行瘤右半球切除的需要,改善了患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 病理学 病理学 病理学
背景情况:
- 偶然的尾瘤发生在约1%的尾炎样本中.
- 目前的政策包括在尾切除过程中进行半尾切除,以帮助分阶段,并可能避免瘤右半尾切除 (ORH).
研究的目的:
- 审查在尾切除过程中封锁性中尾切除的临床实践.
- 评估该技术对ORH的速度的影响.
主要方法:
- 在2014年5月至2019年5月期间进行的2455次尾切除术的回顾性审查.
- 分析临床笔记和组织病理学报告,以评估瘤,手术技术和随后的手术.
主要成果:
- 86%的尾切除标本包括中尾切除.
- 确定了58种尾瘤 (2.4%),其中包括33种神经内分泌瘤 (1.3%).
- 3名患有瘤 (10-20毫米) 的患者因中尾切除而避免ORH;11名患有神经内分泌新生瘤的患者被推ORH.
结论:
- 在尾切除过程中切除中尾是安全且技术上简单的手术.
- 它允许准确的瘤分期,并指导进一步手术干预的决定,如ORH.
- 这种做法支持对偶然的尾瘤的手术策略的改变.
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