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良性和恶性直肠病变的透微创手术:来自三级中心的中期结果

Mahmood Al-Dhaheri¹, Fajer Al-Ishaq¹, Ali Toffaha¹

¹From the Colorectal Unit, Hamad Medical Corporation, Doha, Qatar.

Annals of Saudi medicine

|December 10, 2023

概括

透过门的微创手术 (TAMIS) 提供了有利的中期结果用于直肠瘤,当仔细的患者选择应用. 这项研究证明了它作为一种微创手术选择的有效性.

科学领域:

结肠直肠手术结肠直肠手术
最少侵入性的手术
在瘤学瘤学.

背景情况:

透过门的微创手术 (TAMIS) 越来越多地用于直肠瘤.
然而,在文献中,全面的中期和长期结果数据仍然有限.

研究的目的:

评估TAMIS对良性和恶性直肠病变的中期临床和瘤结果.
评估TAMIS在单中心第三级转诊环境中的安全性和有效性.

主要方法:

在2015年1月至2022年12月期间对接受TAMIS治疗的患者进行了一项回顾性队列研究.
收集的数据包括人口统计,临床细节和瘤学结果,遵守国家综合癌症网络指南.
随访方案包括临床检查,瘤标志物,成像 (MRI,CT) 和基于病变类型的结肠镜检查.

主要成果:

分析了30种TAMIS手术,包括腺癌 (33.3%),神经内分泌瘤 (20%) 和腺瘤性病变 (40%).
所有恶性病变都实现了负切除边缘. 术后并发症很少 (6.6%).
随访时间中位数为23个月,腺瘤复发率为6.6%,边际为正.

结论:

透过门的微创手术 (TAMIS) 是切除直肠瘤局部的可行选择.
在严格遵守患者选择标准的情况下,可以实现有利的中期结果.

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