前圣瘤:对文献的系统审查
Jeffrey Otote1, Valentin Butnari1, Praveen Surya Ravichandran1
1Department of Surgery, Barking Havering and Redbridge Univerisity Hospitals NHS Trust, Romford, United Kingdom.
Journal of clinical imaging science
|June 6, 2024
概括
前分泌/逆分泌瘤 (RRT) 是一种罕见的,往往是先天性病变,主要影响女性. 后部手术方法为RRT管理提供了更短的住院时间.
科学领域:
- 手术瘤学手术瘤学
- 胃肠道手术 胃肠道手术
- 罕见的瘤 罕见的瘤
背景情况:
- 前圣/直肠瘤 (RRT) 不常见,包括多种组织学类型.
- 对RRT的手术管理数据很少,主要来自病例报告和小系列.
- 了解RRT流行病学和最佳的手术策略至关重要.
研究的目的:
- 综合审查RRT的流行病学.
- 分析RRT的病理亚型和手术方法.
- 评估与不同RRT手术方法相关的临床结果,包括停留时间.
主要方法:
- 对2015年至2023年间发表的文章进行了系统的PubMed搜索.
- 包括专注于非泌尿,非妇科,非转移性RRT的研究.
- 分析了68项涉及570名患者的研究的数据.
主要成果:
- RRT主要影响女性 (68.2%),平均年龄为48.6岁.
- 大多数RRT是良性的 (81.8%),其中18.2%是恶性的.
- 后期手术方法 (42.1%) 与前期或联合方法相比,导致平均住院时间更短 (5.7天).
结论:
- 前分泌/逆分泌瘤是罕见的,先天性,在女性中更为普遍.
- 完整的瘤切除 (R0) 对于有效的RRT管理至关重要.
- 最少侵入性手术,当适当选择时,可以为RRT治疗提供更安全的方法.
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