保护环结节切开术的早期或晚期关闭:初步分析中的功能显著结果
Salvatore Tramontano1, Gerardo Sarno2,3, Biancamaria Iacone4
1General and Emergency Surgical Unit, Fucito Hospital, San Giovanni di Dio e Ruggi d'Aragona University Hospital, Salerno, Italy - salvytra@libero.it.
Minerva surgery
|May 17, 2024
概括
在直肠癌手术后早期关闭保护环结节切除术 (PLI) 并没有增加并发症. 然而,延迟关闭与较高的LARS发病率有关.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 保护环结节切除术 (PLI) 降低了直肠癌手术中的败血症风险.
- 对于PLI关闭的最佳时间仍未确定.
- 早期PLI关闭越来越受外科医生青.
研究的目的:
- 评估保护环结节切除术关闭时间对术后结果的影响.
- 为了在直肠癌患者中比较早期和晚期的口腔闭塞.
主要方法:
- 对接受PLI前切除的直肠癌患者的前性分析 (2020年1月至2022年6月).
- 患者分为早期关闭 (EC,≤4周) 和晚期关闭 (LC,>4周) 组.
- 评估的结果包括并发症和低前切除综合征 (LARS) 评分.
主要成果:
- 在EC和LC组之间并发症率没有显著差异.
- 在LC组中观察到较高的LARS发病率 (得分>20和>30).
- 在LC组中,辅助治疗率更高.
结论:
- PLI关闭时间不是关闭后并发症的独立预测因素.
- 延迟PLI关闭与LARS发病率的增加有关,可能是由于运动恢复延迟.
- 需要进一步的随机研究来证实这些发现.
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