大陆皮肤转移:揭示神经泌尿学和瘤学挑战的相互作用
Michael-Abdo-Jefferson El Khoury1, Emmanuel Chartier-Kastler2, Jérome Parra3
1Hôpital Universitaire Pitié-Salpétrière, AP-HP, Paris, France; Université libre de Bruxelles, Faculté de Médecine, Bruxelles, Belgium.
The French journal of urology
|June 7, 2024
概括
大陆皮肤尿路转移 (CCUD) 为癌症患者提供了可行的替代方案,改善了生活质量,具有良好的功能结果. 仔细选择患者是成功应用CCUD的关键.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 手术创新 在外科创新.
背景情况:
- 大陆皮肤尿路转移 (CCUD) 是传统转移的替代方案.
- 它在瘤患者中的应用需要仔细评估手术挑战,功能结果和生活质量.
研究的目的:
- 为了证明CCUD在瘤患者中的实际应用.
- 评估与CCUD相关的手术挑战,功能结果和生活质量.
主要方法:
- 对24名用CCUD进行囊切除术的患者的术后和随访数据的回顾性分析.
- 评估早期和中期并发症,瘤结果和生活质量,使用膀癌指数 (BCI) 问卷.
主要成果:
- 平均随访时间为62.5个月,有3人因癌症复发而死亡.
- 46%的早期术后并发症,70%的中期并发症和62%的重复手术率.
- 高患者满意度 (9.2/10),在BCI响应者中62.5%的身体形象得到保存,75%的体质保持.
结论:
- CCUD可以改善精心挑选的瘤患者的生活质量.
- 它可以作为布里克转移的替代品,特别是在尿道入侵或高风险的新膀失禁的情况下.
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