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在胰腺手术后的生活质量

Shi-Zhen Li¹, Ting-Ting Zhen¹, Yi Wu¹

¹Department of Biliary-Pancreatic Surgery, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei Province, China.

World journal of gastroenterology

|March 22, 2024

概括

胰腺手术后的生活质量 (QOL) 根据手术程序而异. 恢复时间有所不同,十二指肠保存胰腺头切除显示出更好的QOL比胰腺管切除术. 微创手术的长期影响需要进一步研究.

科学领域:

胃肠病学和肝病学胃肠学和肝病学
手术瘤学手术瘤学
患者研究成果研究结果

背景情况:

胰腺手术由于胰腺的复杂解剖结构而带来了重大挑战.
胰腺手术后患者的生活质量 (QOL) 是日益增长的临床兴趣领域.

研究的目的:

系统地审查和分析各种胰腺外科手术后QOL的现有研究.
确定影响QOL的因素,并比较不同手术方法的结果.

主要方法:

在PubMed和EMBASE上进行了系统的文献搜索,遵守PRISMA指南.
包括2012年1月1日之后发表的研究,包括前性和后性研究,研究胰腺手术后患者的QOL.
来自45篇选定的文章的结果被归纳总结.

主要成果:

胰腺双管切除术 (PD),远端胰腺切除术 (DP),中央胰腺切除术 (CP) 和全胰腺切除术 (TP) 显示了不同的QOL恢复时间表,TP和PD需要更长的恢复时间.
与PD相比,双胞胎膜保护胰腺头切除 (DPPHR) 显示出更高的QOL;CP与PD的QOL仍在争论中.
外分泌和内分泌功能的术后下降显著影响QOL. 最少侵入性手术可能会提供早期的QOL益处,但长期影响尚不确定.

结论:

优异的术后QOL的最佳胰腺外科手术程序尚未最终确立.
对最小侵入性与开放性胰腺手术的长期比较QOL数据缺乏.
需要进一步的前性研究来澄清这些结果.

关键词:

中央胰腺切除术远距离的胰腺切除术十二指肠保护胰腺头部切除术胰腺双切除术 (pancreaticoduodenectomy) 是一种切除胰腺的方法.生活质量生活的质量.整体胰腺切除术整体胰腺切除术

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