在右结肠癌中进行 laparoscopic 和开放式急诊手术
Mohammad Iqbal Hussain1, Guglielmo Niccolò Piozzi1, Najmu Sakib1
1Department of Colorectal Surgery, Portsmouth Hospitals University NHS Trust, Portsmouth PO6 3LY, UK.
Diagnostics (Basel, Switzerland)
|February 24, 2024
概括
紧急结肠癌的腹腔镜右切除术是安全的,与开放手术相比,显示出更好的生存率和更短的住院时间. 建议进行进一步的随机试验以确认.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 研究腹腔镜切除术应急右结肠癌的研究.
- laparoscopic 与开放式紧急切除术的周围手术和瘤结局的比较.
- 在紧急右结肠癌手术中确定生存风险因素.
研究的目的:
- 为了比较腹腔镜与开放式紧急右侧小肠切除术的外科和长期瘤结果.
- 确定影响急诊右结肠癌患者生存的危险因素.
主要方法:
- 对202名接受紧急右切除术的患者 (2009-2019) 的回顾性分析.
- 腹腔镜 (n=88) 和开放式 (n=114) 手术方法的比较.
- 用于风险因素识别的考克斯回归分析.
主要成果:
- 腹腔镜手术的持续时间较长,但术后停留时间较短,R0切除率更高.
- 腹腔镜组的五年整体存活率明显高于腹腔镜组 (51.7%对27.1%).
- 无病生存率和并发症率在各组之间相似;手术方法,N阶段和R阶段影响了生存率.
结论:
- 腹腔镜右侧结肠切除术是对紧急右侧结肠癌的安全方法,提供可比或更好的瘤和外科手术周围的结果.
- 这项研究表明,在紧急情况下,腹腔镜方法对生存有潜在的益处.
- 需要随机对照试验来验证这些发现.
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