对直肠癌切除手术方法的演变:一个跨国注册评估评估
Julie M L Sijmons1, Jan Willem T Dekker2, Jurriaan B Tuynman2
1Dutch ColoRectal Audit (DCRA), Leiden, Netherlands. juliesijmons@outlook.com.
International journal of colorectal disease
|January 6, 2024
概括
在过去的10年里,直肠癌的最小侵入性手术 (MIS) 在全球范围内显著增加,尽管采用情况因国家而异. 局部切除趋势不一致,突出了不同的外科手术方法实施.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术瘤学手术瘤学
- 胃肠道瘤学 胃肠道瘤学
背景情况:
- 结直肠癌的治疗已经发展到微创手术 (MIS) 和局部切除.
- 外科手术实施方式的国际差异需要进行比较分析.
研究的目的:
- 评估十年来直肠癌手术方法的趋势.
- 分析不同国家的患者,瘤和治疗特征.
- 了解在直肠癌手术中MIS和局部切除的全球采用率.
主要方法:
- 从临床审计 (2010-2019) 中伪匿名数据的回顾性分析.
- 包括来自荷兰,瑞典,英格兰-威尔士和澳大利亚-新西兰的数据.
- 公开手术,MIS和局部切除率和趋势的比较.
主要成果:
- 超过99000名患者被纳入;到2019年,MIS使用率从29.9%上升到72.1%.
- 对MIS的转换率从17.5%下降到9.0%.
- 观察到MIS采用在国际上有显著的变化,随着时间的推移而下降. 当地的切除趋势在各国之间不一致.
结论:
- 对于直肠癌的最小侵入性手术的采用在全球显著增加,但实施速度和应用因国家而异.
- 当地切割趋势显示不一致,表明不同的管理策略.
- 进一步研究影响外科手术方法国际差异的因素是有必要的.
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