沙特阿拉伯脏曲癌症的治疗差异:一个横截面研究
Abdulrahman Alotaibi1,2, Abeer Zakariyah3, Abdullah Malaka4
1Colorectal Surgery, University of Jeddah, Jeddah, SAU.
Cureus
|August 5, 2024
概括
沙特阿拉伯的结肠直肠外科医生在治疗大肠癌 (SFCs) 方面缺乏共识,对手术程序的偏好各不相同. 在SFC治疗中,有强烈的共识,将接器解剖切除为手.
科学领域:
- 结肠直肠外科手术是什么意思
- 手术瘤学手术瘤学
- 胃肠道瘤学 胃肠道瘤学
背景情况:
- 脊髓曲结肠癌 (SFCs) 提出了独特的外科手术管理挑战.
- 现有文献表明,在SFCs的不同手术方法中,类似的瘤结果.
- 对SFC的外科医生实践模式在全球范围内有所不同,这表明需要了解区域偏好.
研究的目的:
- 确定沙特阿拉伯大肠直肠外科医生的治疗偏好,以治疗大肠癌.
- 将沙特阿拉伯SFC的外科管理实践与法国的外科管理实践进行比较.
主要方法:
- 一个描述性的横截面研究,使用14个问题验证的问卷.
- 在2023年10月1日至30日期间,从沙特结直肠外科学会 (SSCRS) 的结直肠外科医生通过谷歌表格收集的数据.
- 达到了66%的响应率 (58/88).
主要成果:
- 对于沙特阿拉伯SFC的首选外科手术没有达成共识;分段切除术 (36.2%),分总切除术 (32.8%),左半切除术 (31%) 同样被报告.
- 在SFC治疗中,有很高的共识 (96%) 赞成领带式解体,而不是手工合用于解体.
- 在沙特阿拉伯和法国的外科医生之间,在特定手术 (p=0.001) 和手术方法 (腹腔镜,开放式,手术) (p=0.001) 的频率上观察到显著差异.
结论:
- 在法国和沙特阿拉伯的结直肠外科医生之间存在着SFC治疗策略的显著差异.
- 沙特阿拉伯的结直肠外科医生之间对于SFC的最佳手术管理缺乏共识.
- 沙特结肠直肠外科学会 (SSCRS) 应召开专家小组,制定SFC治疗的共识指南.
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