在性结肠炎的细分结肠切除术
Sumeyye Yilmaz1, Rebecca L Gunter, Arielle E Kanters
1Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio.
Diseases of the colon and rectum
|April 23, 2024
概括
对于性结肠炎的细分切除术显示了选择患者的低并发症率和良好的长期结果. 这种手术对于患有静止性结肠炎或其他特定症状的老年人来说可能是一个安全的选择.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 炎症性肠病 (IBD) 是一种炎症性肠病.
背景情况:
- 分段切除术是性结肠炎 (UC) 患者的手术选择,这些患者患有术后并发症风险增加.
- 在UC中确定细分切除术的最佳候选人对于改善患者的治疗结果至关重要.
研究的目的:
- 评估经过细分切除术的性结肠炎患者的术后和长期结果.
- 为了确定影响UC患者进行细分切除术的结果的因素.
主要方法:
- 在第三级护理中心进行的回顾性病例系列 炎症性肠病 (IBD) 中心.
- 对55名UC患者的分析,这些患者在1995年至2022年期间接受了细分切除术.
- 评估的结果包括术后并发症,早期/晚期结肠炎,超慢性癌症,无结肠切除术的存活率和静脉瘤率.
主要成果:
- 该研究包括55名患者 (36.4%为女性,平均年龄为67.8岁),其中58.2%的ASA得分为3和87.3%的并发症.
- 术后并发症发生在29.1%的患者 (12.7%的Clavien-Dindo III-V类). 早期和晚期结肠炎的发病率分别为9.1%和14.5%.
- 两年和五年无直肠切除术生存率分别为91%和88%,其中10.9%需要在随访时进行静脉栓塞.
结论:
- 在UC中,细分结肠切除与低的术后并发症率,早期/晚期结肠炎和超慢性癌症有关.
- 该程序显示了有利的长期结果,包括高的无直肠切除术生存率.
- 对某些UC患者而言,细分切除术是安全的考虑,特别是患有静止疾病或其他特定症状的老年人.
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