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腹腔镜手术对于循环结肠静止术的有效性:一种倾向与得分匹配的分析

S Arai^1,2, Y Yamaoka³, A Shiomi¹

¹Division of Colon and Rectal Surgery, Shizuoka Cancer Center, Shizuoka, Japan.

Techniques in coloproctology

|September 19, 2023

概括

laparoscopic环结肠术是一种可行的和有益的方法,与开放手术相比,显示了手术部位感染和皮肤疾病的减少. 这种方法为需要便转移的患者提供了更好的结果.

科学领域:

结肠直肠手术结肠直肠手术
最少侵入性手术的方法
手术结果研究研究.

背景情况:

结肠直肠术是一种常见的便转移技术.
最佳的手术方法和相关的并发症仍然不清楚.
与口腔有关的问题包括脱落,和皮肤疾病.

研究的目的:

为了评估腹腔镜环结肠静止术的疗效和可行性.
为了比较腹腔镜和开放方法之间的手术结果和并发症率.

主要方法:

对388名接受循环结肠静脉切除术的患者进行了回顾性队列研究 (2010年4月至2022年3月).
腹腔镜 (LAP) 和开放式 (OPEN) 手术组之间的比较.
分析手术结果和口腔并发症 (胃,半口腔,皮肤疾病) 的分析,并进行倾向性得分匹配.

主要成果:

与OPEN组 (n=208) 相比,LAP组 (n=180) 的手术时间较短,手术部位感染 (3.9%对16.3%) 和皮肤疾病 (11.7%对24.5%) 的发生率较低.
胃 (17.3%对17.3%) 或半胃 (8.9%对6.7%) 的发生率没有显著差异.
在LAP组中,后倾向性得分匹配,下部手术部位感染和皮肤疾病率持续存在.

结论:

laparoscopic环结肠静脉检查显示了显著的好处.
该程序既可行又有利于患者.
减少感染和皮肤并发症凸显了腹腔镜方法的价值.

关键词:

便的转移便的转移 laparoscopic 手术拉巴洛斯科普手术是用眼镜进行的手术.循环结肠直肠术 (Loop colostomy) 是一种使用循环结肠直肠术的方法.一个帕拉斯托马尔.胃部缩胃部缩胃部缩

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