在直肠恶性瘤中进行 laparoscopic 手术后的早期术后结果
T Hossain1, A Sultana, F Mahmud
1Dr Tasmina Hossain, Assistant Professor, Department of Surgery, International Medical College, Gazipur, Bangladesh;
Mymensingh medical journal : MMJ
|June 30, 2024
概括
对于直肠癌而言,腹腔镜腹腔切除 (APR) 和前腔切除 (AR) 是可行的. 这种技术提供了诸如减少疼痛,更早的患者流动性和较短的住院时间等好处,与开放式手术相比.
科学领域:
- 手术瘤学手术瘤学
- 最少侵入性的手术
- 胃肠道手术 胃肠道手术
背景情况:
- 直肠恶性瘤经常需要腹腔经管切除 (APR) 或前腔切除 (AR).
- 传统的开放外科手术方法是这些手术的标准.
- laparoscopic 方法正在成为潜在的替代方案.
研究的目的:
- 评估腹腔镜腹腔切除术 (APR) 和直肠癌前切除术 (AR) 的可行性.
- 为了比较腹腔镜直肠手术与传统开放方法的结果.
- 评估腹腔镜技术的安全性和有效性.
主要方法:
- 进行了一项前性观察性研究.
- 在2015年11月至2016年4月期间,被诊断患有直肠癌的19名患者接受了腹腔镜APR或AR.
- 收集了患者人口统计数据,手术程序,止痛药需求,出行和住院的数据.
主要成果:
- 十二名患者有腹腔镜APR,6名患者有腹腔镜AR,其中一个转化 (5.3%的转化率).
- 患者需要的止痛药显著减少 (平均5.61±1.57阿片类药物剂量) 持续时间较短 (4.05天).
- 观察到早期的术后行走 (平均2.16±0.76天) 和较短的平均住院时间 (11.53±1.98天).
结论:
- 腹腔镜APR和AR在治疗直肠癌方面是安全,有效和技术上可行的.
- 腹腔镜方法显示了早期术后结果的改善,包括减少止痛药的需要,更早的出行和更短的住院时间.
- 这种微创手术技术代表了对直肠恶性瘤的开放性手术的可行替代方案.
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