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在机器人辅助腹腔镜激进前列腺切除术后6个月,直肠功能和症状:单中心研究
Theodoros Psarias1, Susanna Walter2, Martin Holmbom3
1Department of Clinical and Experimental Medicine, Division of Urology, Linköping University, Linköping, Sweden. theodoros.psarias@regionostergotland.se.
Scandinavian journal of urology
|May 13, 2024
概括
机器人辅助腹腔镜激进前列腺切除术 (RALP) 可能会降低直肠的感觉. 然而,这种变化没有影响患者手术后的肠功能或手术后的症状.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 机器人辅助腹腔镜激进前列腺切除术 (RALP) 是局部前列腺癌的标准治疗方法.
- 有时会报告术后直肠症状,如便失禁和急迫性.
- 直肠功能依赖于神经完整性,直肠感觉和储容量.
研究的目的:
- 评估RALP对直肠生理功能的影响.
- 评估RALP后直肠感官功能和关节压力的变化.
- 为了确定RALP是否影响患者报告的肠道症状.
主要方法:
- 一项试点研究包括29名接受RALP治疗局部前列腺癌的患者.
- 直肠生理测试测量了直肠敏感性,储功能和关节压力.
- 用问卷和手术前和后 (6个月) 的日记来评估肠道症状.
主要成果:
- 在RALP后观察到直肠感觉值显著增加 (20至40mmHg,P<0.001),表明直肠感觉减少.
- 在生理测试中没有发现其他显著差异.
- 重要的是,手术后没有检测到患者报告的肠道症状的变化.
结论:
- 拉尔普可能会损害直肠感官功能.
- 尽管直肠的感觉发生了变化,但RALP似乎没有对术后临床肠功能或症状产生负面影响.
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