在胃癌的总体,次总体或远端胃切除术后的术后延迟排空:基于人口的研究
Anna Junttila1, Olli Helminen2, Mika Helmiö1
1Division of Digestive Surgery and Urology, Turku University Hospital, Turku, Finland.
概括
胃切除的程度 (总体,亚总体或远程) 并没有影响延迟的胃空化. 然而,亚总和远端胃切除术与全胃切除术相比,与手术后并发症的减少有关.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 临床结果研究研究
背景情况:
- 胃腺癌需要手术切除,有不同程度的胃切除 (总,次总,远部胃切除术).
- 手术后的并发症,包括胃空气延迟,是这些手术后的关键问题.
研究的目的:
- 为了调查延迟胃排空和其他90天后术后并发症的发生率.
- 在基于人口的队列中,比较不同胃切除范围 (总,次总,远程) 的结果.
主要方法:
- 在芬兰 (2005-2016年) 接受胃切除术的2058名胃癌患者的回顾性分析.
- 使用后勤回归计算90天死亡率的几率比率,调整为临床和病理因素.
- 分析的结果包括延迟胃排空,重大并发症和重复手术.
主要成果:
- 切除类型没有显著影响90天延迟胃空化的风险.
- 亚总胃切除术与较低的重大并发症和重复手术风险有关.
- 与其他切除类型相比,远端胃切除术显示出解肠道并发症的风险降低.
结论:
- 胃切除的程度似乎不会影响延迟胃空化的速度.
- 副总和远端胃切除术与手术后并发症相比,总胃切除术的相关性更少.
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