对位于牙线以下的超低直肠癌进行符合性截切除:试点报告
Yi-Ming Zhou1, Yi-Wen Zang1, Zhen-Yang Li1
1Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China.
概括
符合性关切除 (CSR) 为低直肠瘤提供了一个新的关保护手术选择. 这种技术实现了瘤安全性和良好的功能结果,使其成为腹腔切除的可行替代方案.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术瘤学手术瘤学
- 结直肠癌的治疗方法
背景情况:
- 节性手术通常可以通过间切除来实现低直肠癌.
- 在牙线以下的瘤中,腹腔切除仍然是必要的.
- 为了应对这种外科手术挑战,开发了一种新的技术 - - 形状截切除 (CSR).
研究的目的:
- 引入对牙线以下的直肠瘤进行符合性截切除 (CSR) 程序.
- 评估CSR的初步手术,瘤和功能结果.
- 确立企业社会责任作为一种不损害瘤安全或功能结果的关节保护选择.
主要方法:
- 进行了一项回顾性,单中心,单臂试点研究.
- 连续20名牙线以下的直肠瘤患者接受了腹腔镜CSR.
- 收集和分析了人口统计,临床病理学,瘤学结果和功能结果的数据.
主要成果:
- 平均距离切除边缘为10.6毫米,所有环切除边缘均为负.
- 总体和无疾病生存率为95%,随访时间中位数为20个月.
- 观察到较低的并发症率 (25%的Clavien-Dindo I级) 和可接受的功能评分 (Wexner incontinence评分6.3,LARS评分27.3).
结论:
- 整形截切除 (CSR) 是技术上可行的程序,用于选择的患者,直肠瘤在牙线以下.
- CSR证明了癌症安全性,具有负边际和高生存率.
- 该程序在功能上是可以接受的,提供了一个有价值的关节保护替代方案.
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