在接受结直肠癌切除和预防性尾切除的患者中,隐性尾病理
Francesco Di Fabio1, Prabhu Ravi1, Niccolo Allievi1
1Colorectal Surgery and Peritoneal Malignancy Unit, Basingstoke and North Hampshire Hospital, Basingstoke, UK.
World journal of surgery
|April 23, 2024
概括
在结直肠癌手术期间的预防性尾切除术很少显示出重大病理,只有3%的患者表现出同步尾瘤. 这一发现支持了程序.
科学领域:
- 胃肠道学和外科瘤学
- 结肠直肠手术 结肠直肠手术
- 病理学 病理学 病理学
背景情况:
- 在结直肠癌切除过程中预防性尾切除的实用性仍在争论中.
- 一些中心的标准实践包括在左侧结直肠切除过程中进行尾切除.
研究的目的:
- 在接受结直肠癌切除的患者中确定组织学上异常的尾样本的速率.
- 在这个患者队列中评估同步尾瘤的发病率.
主要方法:
- 从一个单一的第三级护理中心前性收集数据库的回顾性分析.
- 包括2015年1月至2021年6月间连续717名接受结直肠癌切除术的患者.
- 来自接受预防性尾切除术的患者的尾样本的评估.
主要成果:
- 尾切除术在接受结肠直肠癌手术的80%的患者中进行.
- 在576个尾切除标本中,7.3%显示异常发现,包括炎症病理,子宫内膜异位症,多和瘤.
- 在左侧切除期间接受预防性尾切除术的患者中,同步尾瘤被确定在2.9%的患者中.
- 预防性尾切除手术过程中没有任何并发症.
结论:
- 隐形尾病理在接受结肠直肠癌切除与预防性尾切除的患者中不常见.
- 大约3%的患者可能患有同步尾瘤,因此需要考虑该程序.
- 预防性尾切除似乎是安全的,并且可以在结直肠癌手术期间检测罕见的瘤.
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