结肠直肠手术后的解剖管泄漏:风险因素,诊断和治疗选择
Maria Mădălina Denicu1, Dan Cârțu2, Sandu Râmboiu2
1University of Medicine and Pharmacy of Craiova, Romania.
Current health sciences journal
|February 5, 2024
概括
结直肠癌手术后的解剖管泄漏 (AL) 与晚年,并发症和男性性别有关. 偏好保守的治疗,重复手术只适用于严重病例,尽管它带有更高的死亡风险.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术并发症 手术并发症
- 在瘤学瘤学.
背景情况:
- 肠道漏 (AL) 是结直肠手术后的一种严重并发症.
- 识别风险因素和优化管理对于改善患者的治疗结果至关重要.
研究的目的:
- 在结直肠癌手术中识别AL的危险因素.
- 评估AL的诊断方法.
- 探索AL的治疗选择.
主要方法:
- 一项对315次选择性结直肠癌手术的回顾性研究.
- 分析了在2014年至2022年期间记录的28例解口泄漏病例.
- 识别风险因素,诊断方法和治疗结果.
主要成果:
- 总的AL发病率为8.88%.
- 确定的主要危险因素包括直肠癌,前下切除,开放性手术,晚年,男性性别和多种并发症.
- 保守治疗是主要的,在78.56%的病例中完成了关闭. 无法控制的败血症需要重新手术,死亡率更高.
结论:
- 高龄,并发症,男性性别,直肠手术和新辅助化学辐射是AL的重要危险因素.
- 保守的医疗管理是AL的主要治疗方法.
- 与保守治疗相比,重症AL或MODS的重新手术显著增加了死亡率.
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