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叶片损失后的第二次自由叶膜转移不会影响口服:一项追溯病例对照研究
Azusa Oshima1, Masashi Wakabayashi2, Takashi Ikeno2
1Department of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Japan; Course of Advanced Clinical Research of Cancer, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|November 21, 2023
概括
在pharyngo-laryngo-esophagectomy之后的第二次自由阴膜转移很少发生,但不会影响长期的口服摄入. 虽然早期的并发症可能会增加,但没有观察到严重的并发症,这支持了这种重建手术的安全性.
科学领域:
- 重建性手术是一种重建性手术.
- 胃肠道手术 胃肠道手术
- 在瘤学瘤学.
背景情况:
- 自由膜转移是经过全喉食道切除术后口服恢复的标准程序.
- 叶片损失需要第二次自由叶膜转移是一个罕见但重要的事件.
研究的目的:
- 为了研究第二次自由阴茎转移对手术后口服的影响.
- 为了比较经过第一个和第二次自由阴茎移植的患者之间的术后结果.
主要方法:
- 在1998年7月至2019年12月期间,对367名接受了自由阴膜移植的患者进行了回顾性审查.
- 在17名需要第二次转移的患者和350名不需要转移的患者中,对失消症发生率和术后并发症的比较.
- 估计食障碍和并发症的危险因素.
主要成果:
- 没有统计学上显著的差异,在手术后食障碍的发病率在两组之间.
- 第二次自由膜移植与早期 (2个月和6个月) 并发症的增加有关,但在12个月的随访中并非如此.
- 两组之间严重并发症发生率没有显著差异.
结论:
- 尽管早期并发症增加,但第二次自由膜转移不会对长期口服产生负面影响或导致重大并发症.
- 自由膜移植仍然是一种安全有效的重建选择,可保持术后的生活质量.
- 这项研究支持在复杂的头部和部重建中继续使用自由膜转移.
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